ANN MARIE SELF NP Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041192618

License Status

NOT RENEWED

Business

Title

First Name

ANN

Middle

MARIE

Last Name

SELF

Business Name

ANN MARIE SELF NP

Original Issue Date

10/17/1979

Effective Date

06/11/2022

Expiration Date

06/30/2024

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/05/2025