DANIELLE S KLUMP Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****09

License Status

INACTIVE

Business

First Name

DANIELLE

Middle

Last Name

KLUMP

Business Name

DANIELLE S KLUMP

Original Issue Date

01/27/2012

Effective Date

03/28/2018

Expiration Date

09/30/2020

City

DU QUOIN

State

Zip

62832

County

PERRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/27/2018