NATASHA KAY VISSERING 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

NATASHA KAY

Last Name

VISSERING

Business Name

NATASHA KAY VISSERING

Original Issue Date

08/02/2001

Effective Date

08/02/2001

Expiration Date

05/31/2004

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/09/2006