DAVID CHRISTIAN COLEMAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209019012

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

CHRISTIAN

Last Name

COLEMAN

Business Name

DAVID CHRISTIAN COLEMAN

Original Issue Date

03/13/2019

Effective Date

03/13/2019

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

01/14/2021