MICHELLE MARIE PATRICK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****51

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

MARIE

Last Name

PATRICK

Business Name

MICHELLE MARIE PATRICK

Original Issue Date

07/25/2019

Effective Date

07/25/2019

Expiration Date

09/30/2020

City

O'FALLON

State

Zip

62269

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021