ELIZABETH S MARICLE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****71

License Status

INACTIVE

Business

First Name

ELIZABETH

Middle

Last Name

MARICLE

Business Name

ELIZABETH S MARICLE

Original Issue Date

08/28/2017

Effective Date

08/28/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2018