JEAN ST SANDERCOCK Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****58

License Status

INOPERATIVE

Business

First Name

JEAN

Middle

Last Name

SANDERCOCK

Business Name

JEAN ST SANDERCOCK

Original Issue Date

10/21/2016

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

03/08/2020