CARRIE A NUSSMEYER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****27

License Status

NOT RENEWED

Business

First Name

CARRIE

Middle

Last Name

NUSSMEYER

Business Name

CARRIE A NUSSMEYER

Original Issue Date

04/25/2018

Effective Date

04/25/2018

Expiration Date

09/30/2020

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021