ANASTASIA L RALSTON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

NOT RENEWED

Business

First Name

ANASTASIA

Middle

Last Name

RALSTON

Business Name

ANASTASIA L RALSTON

Original Issue Date

01/30/2013

Effective Date

05/22/2018

Expiration Date

09/30/2020

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021