CONNIE J MOLER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****60

License Status

NOT RENEWED

Business

First Name

CONNIE J

Last Name

MOLER

Business Name

CONNIE J MOLER

Original Issue Date

03/24/2003

Effective Date

03/24/2003

Expiration Date

05/31/2006

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006