REBECCA L FERGUSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****94

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

Last Name

FERGUSON

Business Name

REBECCA L FERGUSON

Original Issue Date

02/04/2008

Effective Date

04/17/2018

Expiration Date

09/30/2020

City

MARYVILLE

State

Zip

62062

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021