RENATTA NICOLE PALMORE 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

RENATTA

Middle

NICOLE

Last Name

PALMORE

Business Name

RENATTA NICOLE PALMORE

Original Issue Date

11/13/2017

Effective Date

04/22/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021