MARCIA SUE MICKLE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003955

License Status

NOT RENEWED

Business

First Name

MARCIA

Middle

SUE

Last Name

MICKLE

Business Name

MARCIA SUE MICKLE

Original Issue Date

10/31/2001

Effective Date

04/02/2018

Expiration Date

09/30/2020

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/14/2021