ADRIANNA ELAINE LATHROP Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

NOT RENEWED

Business

First Name

ADRIANNA

Middle

ELAINE

Last Name

LATHROP

Business Name

ADRIANNA ELAINE LATHROP

Original Issue Date

06/22/2004

Effective Date

06/22/2004

Expiration Date

05/31/2006

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006