TERRI LYNN TWENHAFEL 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

TERRI LYNN

Last Name

TWENHAFEL

Business Name

TERRI LYNN TWENHAFEL

Original Issue Date

06/18/2001

Effective Date

03/08/2020

Expiration Date

08/31/2022

City

CARBONDALE

State

Zip

62901

County

JACKSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022