RICKI S LOAR 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

RICKI

Middle

Last Name

LOAR

Business Name

RICKI S LOAR

Original Issue Date

01/30/2002

Effective Date

05/15/2018

Expiration Date

09/30/2020

City

SHILOH

State

Zip

62221

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/14/2018