KIRSTIE A WILLIAMS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****55

License Status

INACTIVE

Business

First Name

KIRSTIE

Middle

Last Name

WILLIAMS

Business Name

KIRSTIE A WILLIAMS

Original Issue Date

08/17/2020

Effective Date

08/17/2020

Expiration Date

05/31/2022

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2020