DONNA A JEWELL Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****62

License Status

INOPERATIVE

Business

First Name

DONNA

Middle

Last Name

JEWELL

Business Name

DONNA A JEWELL

Original Issue Date

06/13/2016

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

CENTRALIA

State

Zip

62801

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/08/2020