TERRY L HAVENS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****96

License Status

NOT RENEWED

Business

First Name

TERRY

Middle

Last Name

HAVENS

Business Name

TERRY L HAVENS

Original Issue Date

12/30/2010

Effective Date

05/25/2016

Expiration Date

05/31/2018

City

PARIS

State

Zip

61944

County

EDGAR

Ever Disciplined

LastModifiedDate

07/19/2018