MARISSA LAUREN MANCUSO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041406939

License Status

NOT RENEWED

Business

First Name

MARISSA

Middle

LAUREN

Last Name

MANCUSO

Business Name

MARISSA LAUREN MANCUSO

Original Issue Date

10/29/2012

Effective Date

10/29/2012

Expiration Date

05/31/2014

City

BLOOMFIELD HILLS

State

Zip

48304

County

MICHIGAN

Ever Disciplined

LastModifiedDate

07/03/2014