MICHAEL DEAN BARNES Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****41

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

DEAN

Last Name

BARNES

Business Name

MICHAEL DEAN BARNES

Original Issue Date

11/25/2015

Effective Date

04/27/2018

Expiration Date

09/30/2020

City

MARION

State

Zip

62959

County

WILLIAMSON

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021