JENNIFER M BAUMSTARK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****67

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

BAUMSTARK

Business Name

JENNIFER M BAUMSTARK

Original Issue Date

08/26/2003

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

08/11/2010