MARIE D BOLIVAR-CANO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****75

License Status

NOT RENEWED

Business

First Name

MARIE

Middle

Last Name

BOLIVAR-CANO

Business Name

MARIE D BOLIVAR-CANO

Original Issue Date

01/14/2013

Effective Date

01/14/2013

Expiration Date

05/31/2014

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

07/03/2014