REGINE L MANTALA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041519967

License Status

NOT RENEWED

Business

First Name

REGINE

Middle

Last Name

MANTALA

Business Name

REGINE L MANTALA

Original Issue Date

01/13/2022

Effective Date

08/05/2022

Expiration Date

06/30/2024

City

SAN ANTONIO

State

Zip

78251

Ever Disciplined

LastModifiedDate

02/05/2025