MARY E TOLLIVER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003067

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

TOLLIVER

Business Name

MARY E TOLLIVER

Original Issue Date

07/13/2001

Effective Date

04/27/2016

Expiration Date

05/31/2018

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

07/19/2018