SCOTT TSLOC NGUY Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****14

License Status

INOPERATIVE

Business

First Name

SCOTT

Middle

TSLOC

Last Name

NGUY

Business Name

SCOTT TSLOC NGUY

Original Issue Date

08/31/2012

Effective Date

04/10/2016

Expiration Date

05/31/2018

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/01/2018