JILL D LAWRENCE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****07

License Status

NOT RENEWED

Business

First Name

JILL D

Last Name

LAWRENCE

Business Name

JILL D LAWRENCE

Original Issue Date

09/05/2017

Effective Date

09/28/2020

Expiration Date

08/31/2022

City

ROCKFORD

State

Zip

61107

County

WHITESIDE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022