JULIE C DEFABIO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****64

License Status

NOT RENEWED

Business

First Name

JULIE

Middle

Last Name

DEFABIO

Business Name

JULIE C DEFABIO

Original Issue Date

08/15/2017

Effective Date

04/24/2018

Expiration Date

09/30/2020

City

COLUMBIA

State

Zip

62236

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021