STEPHANIE LYNN FAULKNER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****49

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

LYNN

Last Name

FAULKNER

Business Name

STEPHANIE LYNN FAULKNER

Original Issue Date

11/02/2011

Effective Date

11/02/2011

Expiration Date

05/31/2012

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

07/10/2012