LAURA A STODDARD Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****99

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

Last Name

STODDARD

Business Name

LAURA A STODDARD

Original Issue Date

07/28/2016

Effective Date

04/02/2018

Expiration Date

09/30/2020

City

SCOTT AFB

State

Zip

62225

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021