CHRISTA K STAPLES 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

CHRISTA

Middle

Last Name

STAPLES

Business Name

CHRISTA K STAPLES

Original Issue Date

07/21/2011

Effective Date

07/21/2011

Expiration Date

05/31/2012

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/10/2012