DALE TERRY HEDBERG Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209001016

License Status

NOT RENEWED

Business

First Name

DALE TERRY

Last Name

HEDBERG

Business Name

DALE TERRY HEDBERG

Original Issue Date

06/14/2001

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

BREESE

State

Zip

62230

County

CLINTON

Ever Disciplined

LastModifiedDate

08/11/2010

Case Number

2003004847

Action

Suspension

Discipline Start Date

11/13/2008

Discipline Reason

Failure to file and/or pay Illinois state income taxes.