MARY ELIZABETH LEWIS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

NOT RENEWED

Business

First Name

MARY

Middle

ELIZABETH

Last Name

LEWIS

Business Name

MARY ELIZABETH LEWIS

Original Issue Date

01/30/2002

Effective Date

05/16/2014

Expiration Date

05/31/2016

City

PEORIA

State

Zip

61602

County

PEORIA

Ever Disciplined

LastModifiedDate

07/11/2016