CHARLES RYAN FIELDS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209019322

License Status

INACTIVE

Business

First Name

CHARLES

Middle

RYAN

Last Name

FIELDS

Business Name

CHARLES RYAN FIELDS

Original Issue Date

04/19/2019

Effective Date

03/22/2024

Expiration Date

05/31/2026

City

LEBANON

State

Zip

62254

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/02/2024