STEPHANNIE E CLONINGER HULTZ Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****02

License Status

INACTIVE

Business

First Name

STEPHANNIE

Middle

Last Name

CLONINGER HULTZ

Business Name

STEPHANNIE E CLONINGER HULTZ

Original Issue Date

02/18/2020

Effective Date

03/07/2024

Expiration Date

05/31/2026

City

GLEN CARBON

State

Zip

62034

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/07/2024