ERIN ELIZABETH LOCK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****24

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

ELIZABETH

Last Name

LOCK

Business Name

ERIN ELIZABETH LOCK

Original Issue Date

11/10/2010

Effective Date

11/10/2010

Expiration Date

05/31/2012

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/10/2012