LORI LYNNE EVANS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005310

License Status

INACTIVE

Business

First Name

LORI

Middle

LYNNE

Last Name

EVANS

Business Name

LORI LYNNE EVANS

Original Issue Date

10/04/2004

Effective Date

05/13/2010

Expiration Date

05/31/2012

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/08/2012