LEONARD J HITZ Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****85

License Status

INOPERATIVE

Business

First Name

LEONARD J

Last Name

HITZ

Business Name

LEONARD J HITZ

Original Issue Date

06/28/2011

Effective Date

06/10/2020

Expiration Date

05/31/2022

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2022