MELANIE A WYLIE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****68

License Status

INACTIVE

Business

First Name

MELANIE

Middle

Last Name

WYLIE

Business Name

MELANIE A WYLIE

Original Issue Date

08/04/2004

Effective Date

04/30/2020

Expiration Date

05/31/2022

City

MARYVILLE

State

Zip

62062

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

04/30/2020