LEANN N NITZ Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****16

License Status

INACTIVE

Business

First Name

LEANN

Middle

Last Name

NITZ

Business Name

LEANN N NITZ

Original Issue Date

07/16/2019

Effective Date

03/11/2024

Expiration Date

05/31/2026

City

GRANITE CITY

State

Zip

62040

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2024