DIANNE V SEABAUGH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****62

License Status

NOT RENEWED

Business

First Name

DIANNE V

Last Name

SEABAUGH

Business Name

DIANNE V SEABAUGH

Original Issue Date

06/14/2001

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

FREEBURG

State

Zip

62243

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021