ANNABELLE ALIP DAYOLA-LEDFORD Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****12

License Status

INACTIVE

Business

First Name

ANNABELLE ALIP

Last Name

DAYOLA-LEDFORD

Business Name

ANNABELLE ALIP DAYOLA-LEDFORD

Original Issue Date

11/17/2015

Effective Date

05/31/2018

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61614

County

TAZEWELL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/31/2018