ANNE MARIE NIELSEN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****28

License Status

NOT RENEWED

Business

First Name

ANNE

Middle

MARIE

Last Name

NIELSEN

Business Name

ANNE MARIE NIELSEN

Original Issue Date

04/15/2019

Effective Date

04/15/2019

Expiration Date

09/30/2020

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II IV

Ever Disciplined

LastModifiedDate

01/14/2021