M ELIZABETH COOPER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005282

License Status

NOT RENEWED

Business

First Name

Middle

ELIZABETH

Last Name

COOPER

Business Name

M ELIZABETH COOPER

Original Issue Date

09/16/2004

Effective Date

04/20/2018

Expiration Date

09/30/2020

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/14/2021