ANNA M MULLENS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****40

License Status

NOT RENEWED

Business

First Name

ANNA

Middle

Last Name

MULLENS

Business Name

ANNA M MULLENS

Original Issue Date

10/04/2004

Effective Date

05/06/2010

Expiration Date

05/31/2012

City

HANNA CITY

State

Zip

61536

County

PEORIA

Ever Disciplined

LastModifiedDate

07/10/2012