JENNIFER R RADICE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****99

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

RADICE

Business Name

JENNIFER R RADICE

Original Issue Date

08/02/2001

Effective Date

08/02/2001

Expiration Date

05/31/2004

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Ever Disciplined

LastModifiedDate

10/09/2006