ALTA L RYAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****71

License Status

NOT RENEWED

Business

First Name

ALTA L

Last Name

RYAN

Business Name

ALTA L RYAN

Original Issue Date

02/07/2002

Effective Date

04/17/2018

Expiration Date

09/30/2020

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021