MARIAN E MONTANA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043070756

License Status

NOT RENEWED

Business

First Name

MARIAN E

Last Name

MONTANA

Business Name

MARIAN E MONTANA

Original Issue Date

01/16/1992

Effective Date

12/15/2014

Expiration Date

01/31/2017

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/27/2017

Case Number

2013010251

Action

Revocation

Discipline Start Date

07/29/2015

Discipline Reason

for gross negligence in caring for a resident who developed critically low blood sugar after receiving an overdose of insulin.