MARY E STALLONS 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

MARY

Middle

Last Name

STALLONS

Business Name

MARY E STALLONS

Original Issue Date

05/24/2001

Effective Date

04/29/2010

Expiration Date

05/31/2012

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/10/2012