TERESA LYNN LINCICUM 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

TERESA

Middle

LYNN

Last Name

LINCICUM

Business Name

TERESA LYNN LINCICUM

Original Issue Date

05/09/2006

Effective Date

05/09/2006

Expiration Date

05/31/2008

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

07/11/2008