MARY E MANGRUM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087461

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

MANGRUM

Business Name

MARY E MANGRUM

Original Issue Date

06/26/2002

Effective Date

12/19/2016

Expiration Date

01/31/2019

City

JOHNSTON CITY

State

Zip

62951

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

03/28/2019