MASCOT O MBACHU Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043125625

License Status

NOT RENEWED

Business

First Name

MASCOT

Middle

Last Name

MBACHU

Business Name

MASCOT O MBACHU

Original Issue Date

06/22/2018

Effective Date

06/22/2018

Expiration Date

01/31/2019

City

GARY

State

Zip

46408

Ever Disciplined

LastModifiedDate

03/28/2019