TECONDA LASHELLE DOUGLAS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209009181

License Status

NOT RENEWED

Business

First Name

TECONDA

Middle

LASHELLE

Last Name

DOUGLAS

Business Name

TECONDA LASHELLE DOUGLAS

Original Issue Date

10/25/2011

Effective Date

05/22/2012

Expiration Date

05/31/2014

City

SAINT LOUIS

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/03/2014