SIMON M KATUMU Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****19

License Status

NOT RENEWED

Business

First Name

SIMON

Middle

Last Name

KATUMU

Business Name

SIMON M KATUMU

Original Issue Date

08/21/2014

Effective Date

05/04/2018

Expiration Date

09/30/2020

City

FLORISSANT

State

Zip

63033

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021