STACEY MOLLE Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****99

License Status

INOPERATIVE

Business

First Name

STACEY

Last Name

MOLLE

Business Name

STACEY MOLLE

Original Issue Date

03/24/2016

Effective Date

03/24/2016

Expiration Date

05/31/2018

City

HARROD

State

Zip

45850

Ever Disciplined

LastModifiedDate

03/01/2018