MUTIAT MABIFA ROSENJE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043117426

License Status

NOT RENEWED

Business

First Name

MUTIAT

Middle

MABIFA

Last Name

ROSENJE

Business Name

MUTIAT MABIFA ROSENJE

Original Issue Date

08/26/2013

Effective Date

01/30/2017

Expiration Date

01/31/2019

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

03/28/2019