DENISE MANDRELL PITTS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****77

License Status

NOT RENEWED

Business

First Name

DENISE MANDRELL

Last Name

PITTS

Business Name

DENISE MANDRELL PITTS

Original Issue Date

01/28/2005

Effective Date

01/28/2005

Expiration Date

05/31/2006

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/09/2006