JENNIFER M EIDE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209009203

License Status

NOT RENEWED

Business

First Name

JENNIFER M

Last Name

EIDE

Business Name

JENNIFER M EIDE

Original Issue Date

10/28/2011

Effective Date

09/23/2020

Expiration Date

08/31/2022

City

GENOA

State

Zip

60135

County

DEKALB

Ever Disciplined

LastModifiedDate

10/14/2022