MELINDA MARIE VANCE 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

MELINDA

Middle

MARIE

Last Name

VANCE

Business Name

MELINDA MARIE VANCE

Original Issue Date

08/30/2001

Effective Date

04/17/2012

Expiration Date

05/31/2014

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/03/2014