KRYSTINE MICHELLE RYAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****63

License Status

NOT RENEWED

Business

First Name

KRYSTINE

Middle

MICHELLE

Last Name

RYAN

Business Name

KRYSTINE MICHELLE RYAN

Original Issue Date

10/21/2016

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

GENESEO

State

Zip

61254

County

HENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021