COLLEEN R NUXOLL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****36

License Status

NOT RENEWED

Business

First Name

COLLEEN

Middle

Last Name

NUXOLL

Business Name

COLLEEN R NUXOLL

Original Issue Date

09/10/2002

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

SIGEL

State

Zip

62462

County

SHELBY

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/10/2012