STEPHANIE MICKLEY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209021919

License Status

ACTIVE

Business

First Name

STEPHANIE

Last Name

MICKLEY

Business Name

STEPHANIE MICKLEY

Original Issue Date

09/01/2020

Effective Date

03/26/2024

Expiration Date

05/31/2026

City

LA SALLE

State

Zip

61301

County

LA SALLE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/02/2026