DEAN L ANDERSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****70

License Status

INACTIVE

Business

First Name

DEAN L

Last Name

ANDERSON

Business Name

DEAN L ANDERSON

Original Issue Date

05/24/2001

Effective Date

05/24/2018

Expiration Date

09/30/2020

City

WASHINGTON

State

Zip

61571

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/23/2018