REBECCA JO COCCIA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****36

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

Last Name

COCCIA

Business Name

REBECCA JO COCCIA

Original Issue Date

09/24/2004

Effective Date

05/06/2018

Expiration Date

09/30/2020

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

01/14/2021