MACY LIU CAMPBELL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209014491

License Status

INACTIVE

Business

First Name

MACY

Middle

LIU

Last Name

CAMPBELL

Business Name

MACY LIU CAMPBELL

Original Issue Date

07/14/2016

Effective Date

05/29/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/08/2020