MARY JO MERFELD Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****94

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

MERFELD

Business Name

MARY JO MERFELD

Original Issue Date

09/26/2003

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

PEORIA

State

Zip

61636

County

PEORIA

Ever Disciplined

LastModifiedDate

07/10/2012