SANDRA J MONTANA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043065119

License Status

NOT RENEWED

Business

First Name

SANDRA J

Last Name

MONTANA

Business Name

SANDRA J MONTANA

Original Issue Date

12/15/1987

Effective Date

01/09/2017

Expiration Date

01/31/2019

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/28/2019