DONALD A BAGLEY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003148

License Status

INACTIVE

Business

First Name

DONALD A

Last Name

BAGLEY

Business Name

DONALD A BAGLEY

Original Issue Date

07/17/2001

Effective Date

07/17/2001

Expiration Date

05/31/2004

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

06/09/2008