MIKALA M LEWIS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209018745

License Status

NOT RENEWED

Business

First Name

MIKALA

Middle

Last Name

LEWIS

Business Name

MIKALA M LEWIS

Original Issue Date

01/28/2019

Effective Date

05/06/2022

Expiration Date

06/30/2024

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

02/05/2025