CITANIA STOUT Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209033405

License Status

INACTIVE

Business

First Name

CITANIA

Last Name

STOUT

Business Name

CITANIA STOUT

Original Issue Date

09/29/2025

Effective Date

09/29/2025

Expiration Date

05/31/2026

City

SAINT LOUIS

State

Zip

63131

Ever Disciplined

LastModifiedDate

09/29/2025