COREY A POTTS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****98

License Status

NOT RENEWED

Business

First Name

COREY

Middle

Last Name

POTTS

Business Name

COREY A POTTS

Original Issue Date

01/23/2007

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

MT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

08/11/2010