MELONIE MICHELE RICHARDSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****49

License Status

INACTIVE

Business

First Name

MELONIE

Middle

MICHELE

Last Name

RICHARDSON

Business Name

MELONIE MICHELE RICHARDSON

Original Issue Date

11/13/2014

Effective Date

05/20/2020

Expiration Date

05/31/2022

City

CHAMPAIGN

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/20/2020