SALLY J MUICH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****24

License Status

NOT RENEWED

Business

First Name

SALLY

Middle

Last Name

MUICH

Business Name

SALLY J MUICH

Original Issue Date

03/18/2014

Effective Date

03/18/2014

Expiration Date

05/31/2016

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/11/2016