GENESE R MARSHALL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****73

License Status

INACTIVE

Business

First Name

GENESE

Middle

Last Name

MARSHALL

Business Name

GENESE R MARSHALL

Original Issue Date

09/14/2009

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

03/08/2012