JUDITH A DANSIZEN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006212

License Status

INACTIVE

Business

First Name

JUDITH

Middle

Last Name

DANSIZEN

Business Name

JUDITH A DANSIZEN

Original Issue Date

09/05/2006

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

MAPLETON

State

Zip

61547

County

PEORIA

Ever Disciplined

LastModifiedDate

03/12/2018