JAMEE S BALTZELL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****81

License Status

INACTIVE

Business

First Name

JAMEE

Middle

Last Name

BALTZELL

Business Name

JAMEE S BALTZELL

Original Issue Date

10/06/2011

Effective Date

06/01/2018

Expiration Date

09/30/2020

City

OLNEY

State

Zip

62450

County

RICHLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/31/2018