MELONIE MICHELE RICHARDSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****20

License Status

NOT RENEWED

Business

First Name

MELONIE

Middle

MICHELE

Last Name

RICHARDSON

Business Name

MELONIE MICHELE RICHARDSON

Original Issue Date

02/10/2004

Effective Date

03/09/2014

Expiration Date

05/31/2016

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/11/2016