MARVIS L CUSTER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003675

License Status

INACTIVE

Business

First Name

MARVIS

Middle

Last Name

CUSTER

Business Name

MARVIS L CUSTER

Original Issue Date

08/17/2001

Effective Date

04/10/2014

Expiration Date

05/31/2016

City

SPEARFISH

State

Zip

57783

County

SOUTH DAKOTA

Ever Disciplined

LastModifiedDate

03/16/2016