JEFFERY S DAVIS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

NOT RENEWED

Business

First Name

JEFFERY

Middle

Last Name

DAVIS

Business Name

JEFFERY S DAVIS

Original Issue Date

06/25/2010

Effective Date

03/01/2018

Expiration Date

09/30/2020

City

EAST SAINT LOUIS

State

Zip

62204

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/14/2021