ANN E COUNTRYMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041230982

License Status

NOT RENEWED

Business

First Name

ANN E

Last Name

COUNTRYMAN

Business Name

ANN E COUNTRYMAN

Original Issue Date

10/23/1985

Effective Date

04/02/2020

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021