ANGELA RENEE VANMATRE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****32

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

RENEE

Last Name

VANMATRE

Business Name

ANGELA RENEE VANMATRE

Original Issue Date

09/12/2019

Effective Date

09/12/2019

Expiration Date

09/30/2020

City

SAINT FRANCISVILLE

State

Zip

62460

County

LAWRENCE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021