DAWNELL EDETTE MCINTOSH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****18

License Status

INACTIVE

Business

First Name

DAWNELL

Middle

EDETTE

Last Name

MCINTOSH

Business Name

DAWNELL EDETTE MCINTOSH

Original Issue Date

09/06/2017

Effective Date

08/06/2022

Expiration Date

06/30/2024

City

PORT BYRON

State

Zip

61275

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/06/2024