MICHAEL PUFF Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****83

License Status

NOT RENEWED

Business

First Name

MICHAEL

Last Name

PUFF

Business Name

MICHAEL PUFF

Original Issue Date

09/19/2022

Effective Date

09/19/2022

Expiration Date

06/30/2024

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025