LEE ANN TARDINO Advanced Practice Nurse License verification

Business Entity

CANCELLED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****72

License Status

CANCELLED

Business

First Name

LEE ANN

Last Name

TARDINO

Business Name

LEE ANN TARDINO

Original Issue Date

07/02/2002

Effective Date

07/02/2002

Expiration Date

05/31/2006

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

09/28/2006