NADIENE A STOCK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****72

License Status

NOT RENEWED

Business

First Name

NADIENE

Middle

Last Name

STOCK

Business Name

NADIENE A STOCK

Original Issue Date

12/28/2011

Effective Date

06/03/2018

Expiration Date

09/30/2020

City

MT VERNON

State

Zip

62864

County

JEFFERSON

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021