SARAH ELISA ENDICOTT Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****41

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

ELISA

Last Name

ENDICOTT

Business Name

SARAH ELISA ENDICOTT

Original Issue Date

11/04/2016

Effective Date

04/03/2018

Expiration Date

09/30/2020

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021