ANGIE R DETWILER Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****54

License Status

INOPERATIVE

Business

First Name

ANGIE

Middle

Last Name

DETWILER

Business Name

ANGIE R DETWILER

Original Issue Date

08/24/2017

Effective Date

05/30/2018

Expiration Date

09/30/2020

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/08/2020