MIREILLE KISHIKO MANDAMUNA Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043136856

License Status

ACTIVE

Business

First Name

MIREILLE

Middle

KISHIKO

Last Name

MANDAMUNA

Business Name

MIREILLE KISHIKO MANDAMUNA

Original Issue Date

01/22/2025

Effective Date

01/22/2025

Expiration Date

01/31/2027

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

01/22/2025