MAXITA M PINAWIN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****16

License Status

NOT RENEWED

Business

First Name

MAXITA M

Last Name

PINAWIN

Business Name

MAXITA M PINAWIN

Original Issue Date

05/17/2006

Effective Date

05/08/2014

Expiration Date

05/31/2016

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/11/2016