CRYSTAL A STORCK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****13

License Status

ACTIVE

Business

First Name

CRYSTAL

Middle

Last Name

STORCK

Business Name

CRYSTAL A STORCK

Original Issue Date

05/16/2019

Effective Date

04/01/2024

Expiration Date

05/31/2026

City

NASHVILLE

State

Zip

62263

County

WASHINGTON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026