KRYSTAL L CRECELIUS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****68

License Status

NOT RENEWED

Business

First Name

KRYSTAL

Middle

Last Name

CRECELIUS

Business Name

KRYSTAL L CRECELIUS

Original Issue Date

08/03/2018

Effective Date

07/08/2020

Expiration Date

08/31/2022

City

PEORIA

State

Zip

61637

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022