SANDRA M FOLTZ Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****88

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

Last Name

FOLTZ

Business Name

SANDRA M FOLTZ

Original Issue Date

03/22/2016

Effective Date

04/17/2018

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021