LOUELLA E MANTOR Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043082319

License Status

NOT RENEWED

Business

First Name

LOUELLA

Middle

Last Name

MANTOR

Business Name

LOUELLA E MANTOR

Original Issue Date

05/14/1998

Effective Date

01/28/2011

Expiration Date

01/31/2013

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

03/20/2013