MARY FRANCES CRIST 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

MARY

Middle

FRANCES

Last Name

CRIST

Business Name

MARY FRANCES CRIST

Original Issue Date

07/25/2001

Effective Date

05/04/2018

Expiration Date

09/30/2020

City

MCNABB

State

Zip

61335

County

PUTNAM

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021