ANNETTA M NORDSTROM Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

NOT RENEWED

Business

First Name

ANNETTA

Middle

Last Name

NORDSTROM

Business Name

ANNETTA M NORDSTROM

Original Issue Date

06/19/2017

Effective Date

06/19/2017

Expiration Date

05/31/2018

City

ANNAWAN

State

Zip

61234

County

HENRY

Ever Disciplined

LastModifiedDate

07/19/2018