GENA MARIE WEINHOLD Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****92

License Status

NOT RENEWED

Business

First Name

GENA

Middle

MARIE

Last Name

WEINHOLD

Business Name

GENA MARIE WEINHOLD

Original Issue Date

03/01/2011

Effective Date

03/20/2018

Expiration Date

09/30/2020

City

PERRYVILLE

State

Zip

63775

County

MASSAC

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021