CONNIE A DUDA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****46

License Status

INACTIVE

Business

First Name

CONNIE

Middle

Last Name

DUDA

Business Name

CONNIE A DUDA

Original Issue Date

06/27/2007

Effective Date

06/02/2020

Expiration Date

05/31/2022

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

06/02/2020