CRYSTLE K LAUGAVITZ Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****39

License Status

INACTIVE

Business

First Name

CRYSTLE

Middle

Last Name

LAUGAVITZ

Business Name

CRYSTLE K LAUGAVITZ

Original Issue Date

04/09/2021

Effective Date

03/06/2024

Expiration Date

05/31/2026

City

GRANITE CITY

State

Zip

62040

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/29/2024