NANCY CARISA FOUTS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209013678

License Status

INACTIVE

Business

First Name

NANCY

Middle

CARISA

Last Name

FOUTS

Business Name

NANCY CARISA FOUTS

Original Issue Date

12/11/2015

Effective Date

03/25/2020

Expiration Date

05/31/2022

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/25/2020