JUDITH ANNE MCCONVILLE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****02

License Status

NOT RENEWED

Business

First Name

JUDITH ANNE

Last Name

MCCONVILLE

Business Name

JUDITH ANNE MCCONVILLE

Original Issue Date

10/26/2018

Effective Date

10/26/2018

Expiration Date

09/30/2020

City

SANDWICH

State

Zip

60548

County

DEKALB

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021