DANIEL J RESIDE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209000958

License Status

NOT RENEWED

Business

First Name

DANIEL J

Last Name

RESIDE

Business Name

DANIEL J RESIDE

Original Issue Date

06/13/2001

Effective Date

06/05/2022

Expiration Date

06/30/2024

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/05/2025