MICHELLE M SERPICO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****01

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

Last Name

SERPICO

Business Name

MICHELLE M SERPICO

Original Issue Date

01/03/2019

Effective Date

05/07/2024

Expiration Date

05/31/2026

City

PERU

State

Zip

61354

County

LA SALLE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026