BRYAN K CALLAWAY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****11

License Status

NOT RENEWED

Business

First Name

BRYAN K

Last Name

CALLAWAY

Business Name

BRYAN K CALLAWAY

Original Issue Date

06/26/2001

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

CHARLESTON

State

Zip

61920

County

COLES

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021