LOREL GRACE MAYER-NEAL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****76

License Status

INACTIVE

Business

First Name

LOREL

Middle

GRACE

Last Name

MAYER-NEAL

Business Name

LOREL GRACE MAYER-NEAL

Original Issue Date

09/26/2001

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

PONTIAC

State

Zip

61764

County

WILL

Ever Disciplined

LastModifiedDate

03/08/2020