AMANDA R MENDOZA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043085466

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

MENDOZA

Business Name

AMANDA R MENDOZA

Original Issue Date

10/11/2000

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Ever Disciplined

LastModifiedDate

10/15/2005