TERRYL ANN POLANIN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209000866

License Status

INACTIVE

Business

First Name

TERRYL

Middle

ANN

Last Name

POLANIN

Business Name

TERRYL ANN POLANIN

Original Issue Date

06/12/2001

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

METAMORA

State

Zip

61548

County

WOODFORD

Ever Disciplined

LastModifiedDate

03/12/2018