TIMOTHY DEAN RUPNOW Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209015487

License Status

INACTIVE

Business

First Name

TIMOTHY

Middle

DEAN

Last Name

RUPNOW

Business Name

TIMOTHY DEAN RUPNOW

Original Issue Date

01/23/2017

Effective Date

09/23/2020

Expiration Date

05/31/2022

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

09/23/2020