KENNETH D UNZICKER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003587

License Status

NOT RENEWED

Business

First Name

KENNETH D

Last Name

UNZICKER

Business Name

KENNETH D UNZICKER

Original Issue Date

08/09/2001

Effective Date

05/13/2010

Expiration Date

05/31/2012

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/10/2012