CONNIE A DUDA Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****07

License Status

INOPERATIVE

Business

First Name

CONNIE

Middle

Last Name

DUDA

Business Name

CONNIE A DUDA

Original Issue Date

09/13/2010

Effective Date

03/06/2014

Expiration Date

05/31/2016

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

06/18/2014