MARY ELAINE EIDENT Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209021969

License Status

NOT RENEWED

Business

First Name

MARY

Middle

ELAINE

Last Name

EIDENT

Business Name

MARY ELAINE EIDENT

Original Issue Date

09/10/2020

Effective Date

05/07/2022

Expiration Date

06/30/2024

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/05/2025