MELISSA A WAYBRANT-ENNIS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209015760

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

Last Name

WAYBRANT-ENNIS

Business Name

MELISSA A WAYBRANT-ENNIS

Original Issue Date

03/14/2017

Effective Date

03/14/2018

Expiration Date

09/30/2020

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021