ANN MARIE SELF NP Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006764

License Status

NOT RENEWED

Business

Title

First Name

ANN

Middle

MARIE

Last Name

SELF

Business Name

ANN MARIE SELF NP

Original Issue Date

09/18/2007

Effective Date

06/11/2022

Expiration Date

06/30/2024

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/05/2025