CHRISTOPHER BLAKE DYSART Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005140

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

BLAKE

Last Name

DYSART

Business Name

CHRISTOPHER BLAKE DYSART

Original Issue Date

06/11/2004

Effective Date

06/01/2006

Expiration Date

05/31/2008

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

07/11/2008