MILES STEPHEN PRIEBE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****70

License Status

INACTIVE

Business

First Name

MILES

Middle

STEPHEN

Last Name

PRIEBE

Business Name

MILES STEPHEN PRIEBE

Original Issue Date

10/21/2016

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

PINCKNEYVILLE

State

Zip

62274

County

PERRY

Ever Disciplined

LastModifiedDate

06/04/2020