IDA K HESS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****99

License Status

INACTIVE

Business

First Name

IDA

Middle

Last Name

HESS

Business Name

IDA K HESS

Original Issue Date

11/29/2004

Effective Date

03/20/2018

Expiration Date

09/30/2020

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/19/2018