CHASSIDY N KITTLE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****08

License Status

INACTIVE

Business

First Name

CHASSIDY

Middle

Last Name

KITTLE

Business Name

CHASSIDY N KITTLE

Original Issue Date

07/31/2024

Effective Date

07/31/2024

Expiration Date

05/31/2026

City

CARBONDALE

State

Zip

62902

County

JACKSON

Delegated Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

11/01/2024