MIKASA L CRAWFORD 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

MIKASA

Middle

Last Name

CRAWFORD

Business Name

MIKASA L CRAWFORD

Original Issue Date

04/19/2018

Effective Date

05/07/2022

Expiration Date

05/31/2024

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/07/2022