STEPHANIE NICOLE SWANSON 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

STEPHANIE

Middle

NICOLE

Last Name

SWANSON

Business Name

STEPHANIE NICOLE SWANSON

Original Issue Date

11/08/2018

Effective Date

11/08/2018

Expiration Date

09/30/2020

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021