LAURENCE W DAVIS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209001714

License Status

NOT RENEWED

Business

First Name

LAURENCE W

Last Name

DAVIS

Business Name

LAURENCE W DAVIS

Original Issue Date

06/26/2001

Effective Date

05/17/2018

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021