MANNAH J SIAFA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043112217

License Status

NOT RENEWED

Business

First Name

MANNAH

Middle

Last Name

SIAFA

Business Name

MANNAH J SIAFA

Original Issue Date

02/24/2011

Effective Date

01/04/2013

Expiration Date

01/31/2015

City

MANSFIELD

State

Zip

76063

Ever Disciplined

LastModifiedDate

03/09/2015