ANDREA C DEMOULIN Registered Nurse License verification

ANDREA C DEMOULIN

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041427375

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

DEMOULIN

Business Name

ANDREA C DEMOULIN

Original Issue Date

02/04/2015

Effective Date

05/02/2018

Expiration Date

09/30/2020

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

01/14/2021

Case Number

2014009068

Action

Suspension

Discipline Start Date

05/28/2019

Discipline Reason

due to violating a Care, Counseling and Treatment Agreement due to failure to: submit to random toxicology screens; submit personal statements to the Department on a quarterly basis; and satisfactorily participate in an aftercare program.