COLLEEN ANNE DUNHAM Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****37

License Status

NOT RENEWED

Business

First Name

COLLEEN

Middle

ANNE

Last Name

DUNHAM

Business Name

COLLEEN ANNE DUNHAM

Original Issue Date

12/20/2016

Effective Date

03/16/2018

Expiration Date

09/30/2020

City

ALTON

State

Zip

62002

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021