JACQUELINE MICHELLE BLOCK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209020567

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

MICHELLE

Last Name

BLOCK

Business Name

JACQUELINE MICHELLE BLOCK

Original Issue Date

12/02/2019

Effective Date

06/23/2022

Expiration Date

06/30/2024

City

SAINT LOUIS

State

Zip

63146

Ever Disciplined

LastModifiedDate

02/05/2025