CONSTANCE A BELLAVER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****97

License Status

NOT RENEWED

Business

First Name

CONSTANCE

Middle

Last Name

BELLAVER

Business Name

CONSTANCE A BELLAVER

Original Issue Date

01/16/2004

Effective Date

05/18/2016

Expiration Date

05/31/2018

City

GALENA

State

Zip

61036

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

07/19/2018