NANCY CARISA FOUTS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****89

License Status

INACTIVE

Business

First Name

NANCY

Middle

CARISA

Last Name

FOUTS

Business Name

NANCY CARISA FOUTS

Original Issue Date

02/29/2016

Effective Date

03/25/2020

Expiration Date

05/31/2022

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/25/2020