MELANIE SUSAN CHAPMAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****48

License Status

NOT RENEWED

Business

First Name

MELANIE

Middle

SUSAN

Last Name

CHAPMAN

Business Name

MELANIE SUSAN CHAPMAN

Original Issue Date

09/20/2011

Effective Date

08/06/2020

Expiration Date

08/31/2022

City

METROPOLIS

State

Zip

62960

County

MASSAC

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022