CRYSTAL ANN PAWULA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****55

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

ANN

Last Name

PAWULA

Business Name

CRYSTAL ANN PAWULA

Original Issue Date

10/05/2015

Effective Date

05/15/2016

Expiration Date

05/31/2018

City

CHERRY VALLEY

State

Zip

61016

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/19/2018