JENNIFER J LIEB Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209013008

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

Last Name

LIEB

Business Name

JENNIFER J LIEB

Original Issue Date

08/03/2015

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

03/12/2018