STEPHANIE CHRISTELLE FASSU NOULAHEU Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

CHRISTELLE

Last Name

FASSU NOULAHEU

Business Name

STEPHANIE CHRISTELLE FASSU NOULAHEU

Original Issue Date

06/30/2017

Effective Date

06/30/2017

Expiration Date

05/31/2018

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/19/2018