NICOLE ANNE CLEM Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****53

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

ANNE

Last Name

CLEM

Business Name

NICOLE ANNE CLEM

Original Issue Date

03/17/2020

Effective Date

03/17/2020

Expiration Date

08/31/2022

City

BIRMINGHAM

State

Zip

35222

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/14/2026