BRUCE DANIEL HASTINGS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****10

License Status

NOT RENEWED

Business

First Name

BRUCE

Middle

DANIEL

Last Name

HASTINGS

Business Name

BRUCE DANIEL HASTINGS

Original Issue Date

05/16/2019

Effective Date

05/29/2022

Expiration Date

06/30/2024

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025