ERICA L CARD Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****73

License Status

NOT RENEWED

Business

First Name

ERICA

Middle

Last Name

CARD

Business Name

ERICA L CARD

Original Issue Date

06/26/2019

Effective Date

06/26/2019

Expiration Date

09/30/2020

City

ALTON

State

Zip

62002

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021