TECONDA LASHELLE DOUGLAS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****69

License Status

NOT RENEWED

Business

First Name

TECONDA

Middle

LASHELLE

Last Name

DOUGLAS

Business Name

TECONDA LASHELLE DOUGLAS

Original Issue Date

11/10/2011

Effective Date

05/23/2012

Expiration Date

05/31/2014

City

SAINT LOUIS

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/03/2014