GINNY MENSE Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****48

License Status

INOPERATIVE

Business

First Name

GINNY

Last Name

MENSE

Business Name

GINNY MENSE

Original Issue Date

01/15/2021

Effective Date

01/15/2021

Expiration Date

05/31/2022

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

05/02/2022