SANDRA K ELLIOTT Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****28

License Status

INACTIVE

Business

First Name

SANDRA

Middle

Last Name

ELLIOTT

Business Name

SANDRA K ELLIOTT

Original Issue Date

02/08/2006

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/08/2012