PHYLLIS LORRAINE MANGUM Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041604188

License Status

ACTIVE

Business

First Name

PHYLLIS

Middle

LORRAINE

Last Name

MANGUM

Business Name

PHYLLIS LORRAINE MANGUM

Original Issue Date

03/26/2026

Effective Date

03/26/2026

Expiration Date

05/31/2028

City

ROUGEMONT

State

Zip

27572

Ever Disciplined

LastModifiedDate

03/26/2026