ALTA L RYAN Advanced Practice Nurse License verification

Business Entity

CANCELLED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****58

License Status

CANCELLED

Business

First Name

ALTA L

Last Name

RYAN

Business Name

ALTA L RYAN

Original Issue Date

06/11/2001

Effective Date

06/11/2001

Expiration Date

05/31/2006

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/28/2006