LANA ELAINE WANSTREET 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

LANA

Middle

ELAINE

Last Name

WANSTREET

Business Name

LANA ELAINE WANSTREET

Original Issue Date

10/04/2016

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

MARION

State

Zip

62959

County

WILLIAMSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021