MARY E MANGRUM - Registered Nurse License in Illinois | # 043087461

MARY E MANGRUM

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087461

License Status

NOT RENEWED

Business

N

First Name

MARY

Middle

E

Last Name

MANGRUM

Business Name

MARY E MANGRUM

Original Issue Date

06/26/2002

Effective Date

12/19/2016

Expiration Date

01/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

03/28/2019