MINDY FARAONE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

ACTIVE

Business

First Name

MINDY

Last Name

FARAONE

Business Name

MINDY FARAONE

Original Issue Date

03/07/2024

Effective Date

03/07/2024

Expiration Date

05/31/2026

City

GODFREY

State

Zip

62035

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026