MELONIE MICHELE RICHARDSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004802

License Status

INACTIVE

Business

First Name

MELONIE

Middle

MICHELE

Last Name

RICHARDSON

Business Name

MELONIE MICHELE RICHARDSON

Original Issue Date

09/05/2003

Effective Date

05/20/2020

Expiration Date

05/31/2022

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/20/2020