MARTI JORDAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

NOT RENEWED

Business

First Name

MARTI

Last Name

JORDAN

Business Name

MARTI JORDAN

Original Issue Date

05/07/2002

Effective Date

05/07/2002

Expiration Date

05/31/2006

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/09/2006