MIKASA L CRAWFORD Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209015628

License Status

INACTIVE

Business

First Name

MIKASA

Middle

Last Name

CRAWFORD

Business Name

MIKASA L CRAWFORD

Original Issue Date

02/17/2017

Effective Date

05/07/2022

Expiration Date

05/31/2024

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/07/2022