LAYNE D STAMBAUGH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****94

License Status

INACTIVE

Business

First Name

LAYNE

Middle

Last Name

STAMBAUGH

Business Name

LAYNE D STAMBAUGH

Original Issue Date

03/23/2016

Effective Date

06/24/2022

Expiration Date

05/31/2024

City

CANTON

State

Zip

61529

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

03/31/2023