TERRYL ANN POLANIN 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

TERRYL

Middle

ANN

Last Name

POLANIN

Business Name

TERRYL ANN POLANIN

Original Issue Date

08/01/2001

Effective Date

08/01/2001

Expiration Date

05/31/2004

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006