TAMMY MENDOZA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043065175

License Status

INACTIVE

Business

First Name

TAMMY

Last Name

MENDOZA

Business Name

TAMMY MENDOZA

Original Issue Date

12/15/1987

Expiration Date

01/31/1997

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005