MARYANNE PHYLLIS LOCKLIN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003395

License Status

INACTIVE

Business

First Name

MARYANNE PHYLLIS

Last Name

LOCKLIN

Business Name

MARYANNE PHYLLIS LOCKLIN

Original Issue Date

07/31/2001

Effective Date

03/19/2012

Expiration Date

05/31/2014

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

03/06/2014