MARTHA ANN LEVY 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

MARTHA

Middle

ANN

Last Name

LEVY

Business Name

MARTHA ANN LEVY

Original Issue Date

11/06/2017

Effective Date

05/01/2018

Expiration Date

09/30/2020

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021