ANNE L HEINOLD Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****03

License Status

NOT RENEWED

Business

First Name

ANNE

Middle

Last Name

HEINOLD

Business Name

ANNE L HEINOLD

Original Issue Date

06/15/2004

Effective Date

04/21/2014

Expiration Date

05/31/2016

City

PEORIA

State

Zip

61636

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

07/11/2016