KRISTEN S STAMPEHL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****97

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

Last Name

STAMPEHL

Business Name

KRISTEN S STAMPEHL

Original Issue Date

08/21/2017

Effective Date

03/01/2018

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021