DENISE MANDRELL PITTS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005139

License Status

NOT RENEWED

Business

First Name

DENISE MANDRELL

Last Name

PITTS

Business Name

DENISE MANDRELL PITTS

Original Issue Date

06/10/2004

Effective Date

06/01/2006

Expiration Date

05/31/2008

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

07/11/2008