TERESA M CREVISTON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003308

License Status

INACTIVE

Business

First Name

TERESA M

Last Name

CREVISTON

Business Name

TERESA M CREVISTON

Original Issue Date

07/24/2001

Effective Date

07/24/2001

Expiration Date

05/31/2006

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/09/2008