NICHOLE M MANTHEI Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194008310

License Status

NOT RENEWED

Business

First Name

NICHOLE

Middle

Last Name

MANTHEI

Business Name

NICHOLE M MANTHEI

Original Issue Date

08/03/2010

Effective Date

08/07/2013

Expiration Date

10/31/2015

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/09/2015