JENNIFER L HUMPHREYS Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****33

License Status

INOPERATIVE

Business

First Name

JENNIFER

Middle

Last Name

HUMPHREYS

Business Name

JENNIFER L HUMPHREYS

Original Issue Date

09/01/2015

Effective Date

04/19/2016

Expiration Date

05/31/2018

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

03/01/2018