COLLIN P MAGILLIGAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****75

License Status

NOT RENEWED

Business

First Name

COLLIN

Middle

Last Name

MAGILLIGAN

Business Name

COLLIN P MAGILLIGAN

Original Issue Date

01/17/2020

Effective Date

05/28/2020

Expiration Date

08/31/2022

City

O FALLON

State

Zip

62269

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022