JACQUELINE R KAUFMAN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****58

License Status

INACTIVE

Business

First Name

JACQUELINE

Middle

Last Name

KAUFMAN

Business Name

JACQUELINE R KAUFMAN

Original Issue Date

04/04/2011

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

CREVE COEUR

State

Zip

61610

County

TAZEWELL

Ever Disciplined

LastModifiedDate

04/10/2018