SCOTT J DAVIS 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

SCOTT

Middle

Last Name

DAVIS

Business Name

SCOTT J DAVIS

Original Issue Date

03/03/2011

Effective Date

03/03/2011

Expiration Date

05/31/2012

City

SANDWICH

State

Zip

60548

County

DEKALB

Ever Disciplined

LastModifiedDate

07/10/2012