VICKIE S BUSHUR Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****09

License Status

NOT RENEWED

Business

First Name

VICKIE

Middle

Last Name

BUSHUR

Business Name

VICKIE S BUSHUR

Original Issue Date

10/20/2005

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

08/11/2010