CHARISSA MEGHAN BARSOS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****16

License Status

NOT RENEWED

Business

First Name

CHARISSA

Middle

MEGHAN

Last Name

BARSOS

Business Name

CHARISSA MEGHAN BARSOS

Original Issue Date

03/11/2016

Effective Date

03/29/2018

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021