CRYSTAL LYNN STONE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****14

License Status

INACTIVE

Business

First Name

CRYSTAL

Middle

LYNN

Last Name

STONE

Business Name

CRYSTAL LYNN STONE

Original Issue Date

02/14/2017

Effective Date

03/14/2018

Expiration Date

09/30/2020

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/13/2018