LUALHATI G UY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209000409

License Status

INACTIVE

Business

First Name

LUALHATI G

Last Name

Business Name

LUALHATI G UY

Original Issue Date

05/23/2001

Effective Date

08/03/2020

Expiration Date

08/31/2022

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

08/30/2022