SALLY A TIPSWORD Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****87

License Status

NOT RENEWED

Business

First Name

SALLY A

Last Name

TIPSWORD

Business Name

SALLY A TIPSWORD

Original Issue Date

05/29/2001

Effective Date

05/29/2001

Expiration Date

05/31/2004

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

10/09/2006