CHRISTY PAULINE NELSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****89

License Status

NOT RENEWED

Business

First Name

CHRISTY

Middle

PAULINE

Last Name

NELSON

Business Name

CHRISTY PAULINE NELSON

Original Issue Date

06/20/2017

Effective Date

05/03/2018

Expiration Date

09/30/2020

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021