GERTHY CIPUS PIERRE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****60

License Status

NOT RENEWED

Business

First Name

GERTHY

Last Name

CIPUS PIERRE

Business Name

GERTHY CIPUS PIERRE

Original Issue Date

06/06/2018

Effective Date

06/06/2018

Expiration Date

09/30/2020

City

EAST SAINT LOUIS

State

Zip

62201

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021