DANIELLE LEANNE SPAIN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****22

License Status

INACTIVE

Business

First Name

DANIELLE

Middle

LEANNE

Last Name

SPAIN

Business Name

DANIELLE LEANNE SPAIN

Original Issue Date

02/02/2019

Effective Date

05/06/2020

Expiration Date

05/31/2022

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2020