JUDITH ANN SIMMONS JURACO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****25

License Status

NOT RENEWED

Business

First Name

JUDITH

Middle

ANN

Last Name

SIMMONS JURACO

Business Name

JUDITH ANN SIMMONS JURACO

Original Issue Date

06/26/2001

Effective Date

04/20/2018

Expiration Date

09/30/2020

City

CANTON

State

Zip

61520

County

FULTON

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021