ANTHONY ADAMS LATHROP Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****00

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

ADAMS

Last Name

LATHROP

Business Name

ANTHONY ADAMS LATHROP

Original Issue Date

10/29/2002

Effective Date

10/29/2002

Expiration Date

05/31/2006

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006