MIMIE DIBANZILUA Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043136739

License Status

ACTIVE

Business

First Name

MIMIE

Last Name

DIBANZILUA

Business Name

MIMIE DIBANZILUA

Original Issue Date

12/24/2024

Effective Date

12/24/2024

Expiration Date

01/31/2027

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/18/2024