BENJAMIN MICHAEL MANGOLD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043129988

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

MICHAEL

Last Name

MANGOLD

Business Name

BENJAMIN MICHAEL MANGOLD

Original Issue Date

02/17/2021

Effective Date

01/13/2023

Expiration Date

02/28/2025

City

ROANOKE

State

Zip

61561

County

WOODFORD

Ever Disciplined

LastModifiedDate

05/08/2025