KATHLEEN GRACE STOCKER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****25

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

GRACE

Last Name

STOCKER

Business Name

KATHLEEN GRACE STOCKER

Original Issue Date

06/02/2020

Effective Date

06/02/2020

Expiration Date

08/31/2022

City

MT STERLING

State

Zip

62353

County

BROWN

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/14/2022