DAWN M COUSINS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****25

License Status

INACTIVE

Business

First Name

DAWN

Middle

Last Name

COUSINS

Business Name

DAWN M COUSINS

Original Issue Date

07/01/2016

Effective Date

03/20/2018

Expiration Date

09/30/2020

City

CARTHAGE

State

Zip

62321

County

HANCOCK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/19/2018