KRISTEN D MANGOLD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043123373

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

Last Name

MANGOLD

Business Name

KRISTEN D MANGOLD

Original Issue Date

11/07/2016

Effective Date

12/20/2018

Expiration Date

01/31/2021

City

MARQUETTE HEIGHTS

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/11/2021