JERRY LEE STUFFLE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209010572

License Status

NOT RENEWED

Business

First Name

JERRY

Middle

LEE

Last Name

STUFFLE

Business Name

JERRY LEE STUFFLE

Original Issue Date

07/30/2013

Effective Date

07/30/2013

Expiration Date

05/31/2014

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

07/03/2014