TIMOTHY DEAN RUPNOW Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****79

License Status

INACTIVE

Business

First Name

TIMOTHY

Middle

DEAN

Last Name

RUPNOW

Business Name

TIMOTHY DEAN RUPNOW

Original Issue Date

01/23/2017

Effective Date

09/23/2020

Expiration Date

05/31/2022

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

09/23/2020