CANDACE A COOK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

NOT RENEWED

Business

First Name

CANDACE

Middle

Last Name

COOK

Business Name

CANDACE A COOK

Original Issue Date

06/24/2003

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/14/2021