MIRANDA LAWRENCE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****01

License Status

INACTIVE

Business

First Name

MIRANDA

Last Name

LAWRENCE

Business Name

MIRANDA LAWRENCE

Original Issue Date

04/22/2019

Effective Date

04/22/2019

Expiration Date

09/30/2020

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

04/17/2019