MELISSA A WAYBRANT-ENNIS Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****26

License Status

INOPERATIVE

Business

First Name

MELISSA

Middle

Last Name

WAYBRANT-ENNIS

Business Name

MELISSA A WAYBRANT-ENNIS

Original Issue Date

04/05/2017

Effective Date

03/15/2018

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/08/2020