MARY E BACEVICH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****91

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

BACEVICH

Business Name

MARY E BACEVICH

Original Issue Date

07/25/2001

Effective Date

05/08/2012

Expiration Date

05/31/2014

City

IVESDALE

State

Zip

61851

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/03/2014