ETHLYN S HENDERSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209000698

License Status

INACTIVE

Business

First Name

ETHLYN S

Last Name

HENDERSON

Business Name

ETHLYN S HENDERSON

Original Issue Date

06/08/2001

Effective Date

06/01/2006

Expiration Date

05/31/2008

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/09/2008