ELIZABETH D TATE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****51

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

TATE

Business Name

ELIZABETH D TATE

Original Issue Date

07/27/2001

Effective Date

04/03/2014

Expiration Date

05/31/2016

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/11/2016