AUDREY FAULSTICH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****91

License Status

INACTIVE

Business

First Name

AUDREY

Last Name

FAULSTICH

Business Name

AUDREY FAULSTICH

Original Issue Date

11/15/2019

Effective Date

08/12/2022

Expiration Date

05/31/2024

City

VANDALIA

State

Zip

62471

County

FAYETTE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/12/2022