TINA T MOND Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043070659

License Status

NOT RENEWED

Business

First Name

TINA

Middle

Last Name

MOND

Business Name

TINA T MOND

Original Issue Date

12/12/1991

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/15/2005

Case Number

1996012495

Action

Refuse To Renew

Discipline Start Date

11/18/1996

Discipline End Date

02/03/1997

Discipline Reason

Defaulted on Illinois Student Assistance loan.