CAITLIN TAUER PHELAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****82

License Status

NOT RENEWED

Business

First Name

CAITLIN

Middle

TAUER

Last Name

PHELAN

Business Name

CAITLIN TAUER PHELAN

Original Issue Date

03/22/2012

Effective Date

03/29/2018

Expiration Date

09/30/2020

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

01/14/2021