CHANTEL KELLY ANDERSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

NOT RENEWED

Business

First Name

CHANTEL

Middle

KELLY

Last Name

ANDERSON

Business Name

CHANTEL KELLY ANDERSON

Original Issue Date

01/08/2010

Effective Date

04/08/2015

Expiration Date

05/31/2016

City

WHEATFIELD

State

Zip

46392

County

INDIANA

Ever Disciplined

LastModifiedDate

07/11/2016