CHARLES RYAN FIELDS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****37

License Status

INACTIVE

Business

First Name

CHARLES

Middle

RYAN

Last Name

FIELDS

Business Name

CHARLES RYAN FIELDS

Original Issue Date

04/30/2019

Effective Date

03/17/2020

Expiration Date

08/31/2022

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

08/11/2022