JODIEY BONDURANT Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****31

License Status

NOT RENEWED

Business

First Name

JODIEY

Last Name

BONDURANT

Business Name

JODIEY BONDURANT

Original Issue Date

01/05/2017

Effective Date

04/21/2020

Expiration Date

08/31/2022

City

GRANITE CITY

State

Zip

62040

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022