KRISTIN N CRAIN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

Last Name

CRAIN

Business Name

KRISTIN N CRAIN

Original Issue Date

07/25/2013

Effective Date

05/06/2018

Expiration Date

09/30/2020

City

BOWLING GREEN

State

Zip

42104

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021