MIKEL WAYNE PHILLIPS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209007519

License Status

ACTIVE

Business

First Name

MIKEL

Middle

WAYNE

Last Name

PHILLIPS

Business Name

MIKEL WAYNE PHILLIPS

Original Issue Date

03/11/2009

Effective Date

04/23/2024

Expiration Date

05/31/2026

City

BLOOMINGTON

State

Zip

61705

County

WHITESIDE

Ever Disciplined

LastModifiedDate

03/02/2026