CONNIE SUE MARTEN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****83

License Status

NOT RENEWED

Business

First Name

CONNIE

Middle

SUE

Last Name

MARTEN

Business Name

CONNIE SUE MARTEN

Original Issue Date

01/15/2013

Effective Date

08/14/2020

Expiration Date

08/31/2022

City

O'FALLON

State

Zip

63368

County

JEFFERSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022