LEEANN MARIE CAPACE 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

LEEANN

Middle

MARIE

Last Name

CAPACE

Business Name

LEEANN MARIE CAPACE

Original Issue Date

08/11/2010

Effective Date

03/30/2018

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61822

County

VERMILION

Delegated Controlled Substance Schedule

III IV

Ever Disciplined

LastModifiedDate

03/29/2018