DENISE B JORDAN Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****39

License Status

INOPERATIVE

Business

First Name

DENISE B

Last Name

JORDAN

Business Name

DENISE B JORDAN

Original Issue Date

06/11/2001

Effective Date

05/21/2020

Expiration Date

05/31/2022

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/02/2022