ELIZABETH K DENNISS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****29

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

DENNISS

Business Name

ELIZABETH K DENNISS

Original Issue Date

02/11/2003

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/10/2012