JASON WILLIAM MOYNS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****11

License Status

NOT RENEWED

Business

First Name

JASON

Middle

WILLIAM

Last Name

MOYNS

Business Name

JASON WILLIAM MOYNS

Original Issue Date

08/09/2018

Effective Date

04/08/2020

Expiration Date

08/31/2022

City

PETOSKEY

State

Zip

49770

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022