MICHELLE ANN MERTENS-DODGEN 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

MICHELLE

Middle

ANN

Last Name

MERTENS-DODGEN

Business Name

MICHELLE ANN MERTENS-DODGEN

Original Issue Date

06/15/2005

Effective Date

06/15/2005

Expiration Date

05/31/2008

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/11/2008