Connie Harper Requarth
InactiveIllinois license 30*****00
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 30*****00
- Status
- Inactive
- First issued
- August 2, 2001
- Expired
- September 30, 2020
- License holder
- Connie Harper Requarth
- Entity type
- Individual
Classifications
- Adv Practice Nurse Control Sub Nursing
More from the license record
- Delegated controlled substance schedules
- III IV V
- Current term began
- 03/01/2018
Other Illinois licenses under this name
-
IL
ActiveDecatur, ILExpires May 31, 2028
-
IL
InactiveDecatur, ILExpired Sep 30, 2020
Contact
Decatur, IL 62526
Macon County