KRISTEN C ERICKSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****66

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

Last Name

ERICKSON

Business Name

KRISTEN C ERICKSON

Original Issue Date

07/13/2018

Effective Date

07/13/2018

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021