DENISE D MACLEOD Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****32

License Status

INOPERATIVE

Business

First Name

DENISE

Middle

Last Name

MACLEOD

Business Name

DENISE D MACLEOD

Original Issue Date

07/09/2004

Effective Date

04/11/2014

Expiration Date

05/31/2016

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/10/2014