STEPHEN HOWARD COLLINS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****34

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

HOWARD

Last Name

COLLINS

Business Name

STEPHEN HOWARD COLLINS

Original Issue Date

02/06/2019

Effective Date

02/06/2019

Expiration Date

09/30/2020

City

GALESBURG

State

Zip

61401

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021