ANNE GREENWALT Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****23

License Status

INACTIVE

Business

First Name

ANNE

Last Name

GREENWALT

Business Name

ANNE GREENWALT

Original Issue Date

03/23/2015

Effective Date

04/13/2021

Expiration Date

05/31/2022

City

BLOOMINGTON

State

Zip

61704

County

MACOUPIN

Ever Disciplined

LastModifiedDate

04/13/2021