MILLIE JOSIE LOGAN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209026441

License Status

INACTIVE

Business

First Name

MILLIE

Middle

JOSIE

Last Name

LOGAN

Business Name

MILLIE JOSIE LOGAN

Original Issue Date

11/17/2022

Effective Date

11/17/2022

Expiration Date

05/31/2024

City

BLACK JACK

State

Zip

63033

Ever Disciplined

LastModifiedDate

11/17/2022