TIFFANY LA MANTIA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043086888

License Status

NOT RENEWED

Business

First Name

TIFFANY

Last Name

LA MANTIA

Business Name

TIFFANY LA MANTIA

Original Issue Date

12/04/2001

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/21/2005