MISTY D STONE 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

MISTY

Middle

Last Name

STONE

Business Name

MISTY D STONE

Original Issue Date

08/11/2023

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026