LESLIE A FERRELL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****07

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

Last Name

FERRELL

Business Name

LESLIE A FERRELL

Original Issue Date

08/07/2008

Effective Date

03/30/2012

Expiration Date

05/31/2014

City

RALEIGH

State

Zip

62977

County

SALINE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/03/2014