JASON MICHAEL WERTH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006299

License Status

NOT RENEWED

Business

First Name

JASON

Middle

MICHAEL

Last Name

WERTH

Business Name

JASON MICHAEL WERTH

Original Issue Date

11/03/2006

Effective Date

05/30/2008

Expiration Date

05/31/2010

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

08/11/2010