JOLLY DALLMIER 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

JOLLY

Last Name

DALLMIER

Business Name

JOLLY DALLMIER

Original Issue Date

05/04/2001

Effective Date

05/04/2001

Expiration Date

05/31/2004

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/09/2006