PATRICIA JOANN RELLEKE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****18

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

JOANN

Last Name

RELLEKE

Business Name

PATRICIA JOANN RELLEKE

Original Issue Date

06/29/2016

Effective Date

07/02/2018

Expiration Date

09/30/2020

City

MARYVILLE

State

Zip

62062

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021