MELISSA M GLASS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209015048

License Status

INACTIVE

Business

First Name

MELISSA

Middle

Last Name

GLASS

Business Name

MELISSA M GLASS

Original Issue Date

10/28/2016

Effective Date

03/24/2020

Expiration Date

05/31/2022

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/24/2020