ANDREA PENDLETON ROSSOW Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****01

License Status

NOT RENEWED

Business

First Name

ANDREA

Last Name

PENDLETON ROSSOW

Business Name

ANDREA PENDLETON ROSSOW

Original Issue Date

10/30/2002

Effective Date

10/30/2002

Expiration Date

05/31/2004

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006