JEREMIAH DAVID MONDRAGON HALASE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041419645

License Status

NOT RENEWED

Business

First Name

JEREMIAH

Middle

DAVID

Last Name

MONDRAGON HALASE

Business Name

JEREMIAH DAVID MONDRAGON HALASE

Original Issue Date

04/21/2014

Effective Date

04/21/2014

Expiration Date

05/31/2016

City

JANESVILLE

State

Zip

53548

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/11/2016