WENDIE MEDINA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005320

License Status

INACTIVE

Business

First Name

WENDIE

Last Name

MEDINA

Business Name

WENDIE MEDINA

Original Issue Date

10/12/2004

Effective Date

05/30/2008

Expiration Date

05/31/2010

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/05/2010