ERICA S COOK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****79

License Status

NOT RENEWED

Business

First Name

ERICA

Middle

Last Name

COOK

Business Name

ERICA S COOK

Original Issue Date

07/29/2014

Effective Date

07/29/2014

Expiration Date

05/31/2016

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/11/2016