STEPHANIE T FANALE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209018667

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

FANALE

Business Name

STEPHANIE T FANALE

Original Issue Date

01/22/2019

Effective Date

04/12/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/02/2026