CANDACE A COOK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004563

License Status

NOT RENEWED

Business

First Name

CANDACE

Middle

Last Name

COOK

Business Name

CANDACE A COOK

Original Issue Date

12/18/2002

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/14/2021