CHRISTINE MARIE DEBOLD Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004374

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

MARIE

Last Name

DEBOLD

Business Name

CHRISTINE MARIE DEBOLD

Original Issue Date

07/10/2002

Effective Date

05/14/2020

Expiration Date

05/31/2020

City

BRIDGETON

State

Zip

63044

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/19/2020