WHITNEY EVON HENRIQUEZ 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

WHITNEY

Middle

EVON

Last Name

HENRIQUEZ

Business Name

WHITNEY EVON HENRIQUEZ

Original Issue Date

10/29/2014

Effective Date

04/07/2016

Expiration Date

05/31/2018

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/19/2018