STEPHANIE D CRAWFORD Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****18

License Status

INACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

CRAWFORD

Business Name

STEPHANIE D CRAWFORD

Original Issue Date

05/16/2011

Effective Date

03/30/2018

Expiration Date

09/30/2020

City

STILLMAN VALLEY

State

Zip

61084

County

OGLE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/29/2018