MARY A LUDVIGSEN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****92

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

LUDVIGSEN

Business Name

MARY A LUDVIGSEN

Original Issue Date

08/20/2004

Effective Date

09/19/2012

Expiration Date

05/31/2014

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/03/2014