JAN M SIMONE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****10

License Status

NOT RENEWED

Business

First Name

JAN M

Last Name

SIMONE

Business Name

JAN M SIMONE

Original Issue Date

02/22/2002

Effective Date

05/06/2010

Expiration Date

05/31/2012

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/10/2012