MARYANN H PASS Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****93

License Status

INOPERATIVE

Business

First Name

MARYANN H

Last Name

PASS

Business Name

MARYANN H PASS

Original Issue Date

06/11/2004

Effective Date

03/16/2016

Expiration Date

05/31/2018

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

03/01/2018