KRISTA J CEBUHAR 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

KRISTA J

Last Name

CEBUHAR

Business Name

KRISTA J CEBUHAR

Original Issue Date

07/08/2009

Effective Date

05/30/2018

Expiration Date

09/30/2020

City

CANTON

State

Zip

61520

County

FULTON

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021