SARAH L SANDOVAL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****06

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

Last Name

SANDOVAL

Business Name

SARAH L SANDOVAL

Original Issue Date

08/08/2018

Effective Date

08/08/2018

Expiration Date

09/30/2020

City

WATERLOO

State

Zip

62298

County

MONROE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021