ELIZABETH D DECK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****85

License Status

NOT RENEWED

Business

First Name

ELIZABETH D

Last Name

DECK

Business Name

ELIZABETH D DECK

Original Issue Date

05/21/2004

Effective Date

05/06/2010

Expiration Date

05/31/2012

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

07/10/2012