SALLIE VAN DAELE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004897

License Status

NOT RENEWED

Business

First Name

SALLIE

Last Name

VAN DAELE

Business Name

SALLIE VAN DAELE

Original Issue Date

11/12/2003

Effective Date

05/18/2018

Expiration Date

09/30/2020

City

WINNEBAGO

State

Zip

61088

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/14/2021