MILLIE JOSIE LOGAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****57

License Status

NOT RENEWED

Business

First Name

MILLIE

Middle

JOSIE

Last Name

LOGAN

Business Name

MILLIE JOSIE LOGAN

Original Issue Date

11/17/2022

Effective Date

11/17/2022

Expiration Date

06/30/2024

City

BLACK JACK

State

Zip

63033

Ever Disciplined

LastModifiedDate

02/05/2025