JAMIE L ANASTAS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****00

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

Last Name

ANASTAS

Business Name

JAMIE L ANASTAS

Original Issue Date

05/13/2022

Effective Date

05/13/2022

Expiration Date

06/30/2024

City

BELLEVILLE

State

Zip

62226

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025