LATISHA TRENICE STENNIS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****15

License Status

INACTIVE

Business

First Name

LATISHA

Middle

TRENICE

Last Name

STENNIS

Business Name

LATISHA TRENICE STENNIS

Original Issue Date

09/04/2020

Effective Date

05/31/2024

Expiration Date

05/31/2026

City

EAST SAINT LOUIS

State

Zip

62203

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/03/2025