PATTI LYNNE MARTIN 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

PATTI

Middle

LYNNE

Last Name

MARTIN

Business Name

PATTI LYNNE MARTIN

Original Issue Date

05/24/2001

Effective Date

04/14/2020

Expiration Date

08/31/2022

City

JOHNSTON CITY

State

Zip

62951

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Delegated Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

10/14/2022