REBECCA J COLSTON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****39

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

Last Name

COLSTON

Business Name

REBECCA J COLSTON

Original Issue Date

02/05/2021

Effective Date

02/05/2021

Expiration Date

08/31/2022

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022