TIFFANY A MONDAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041311432

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

MONDAK

Business Name

TIFFANY A MONDAK

Original Issue Date

09/16/1998

Effective Date

05/24/2010

Expiration Date

05/31/2012

City

LAS VEGAS

State

Zip

89131

County

NEVADA

Ever Disciplined

LastModifiedDate

07/10/2012

Case Number

2010000270

Action

Suspension

Discipline Start Date

08/31/2011

Discipline Reason

after being disciplined in the state of Nevada for diversion of controlled substances.