MARIAM R CLOUD Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003899

License Status

NOT RENEWED

Business

First Name

MARIAM

Middle

Last Name

CLOUD

Business Name

MARIAM R CLOUD

Original Issue Date

10/16/2001

Effective Date

03/30/2012

Expiration Date

05/31/2014

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/03/2014