CASSANDRA M VESTAL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****92

License Status

NOT RENEWED

Business

First Name

CASSANDRA

Middle

Last Name

VESTAL

Business Name

CASSANDRA M VESTAL

Original Issue Date

08/06/2019

Effective Date

05/06/2022

Expiration Date

06/30/2024

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025