EDDIE A MANLEY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****69

License Status

NOT RENEWED

Business

First Name

EDDIE

Middle

Last Name

MANLEY

Business Name

EDDIE A MANLEY

Original Issue Date

10/08/2015

Effective Date

10/08/2015

Expiration Date

05/31/2016

City

WEST FRANKFORT

State

Zip

62896

County

FRANKLIN

Ever Disciplined

LastModifiedDate

07/11/2016