NICOLE MARIE LEWIS 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

NICOLE

Middle

MARIE

Last Name

LEWIS

Business Name

NICOLE MARIE LEWIS

Original Issue Date

11/06/2017

Effective Date

05/02/2024

Expiration Date

05/31/2026

City

ALMA

State

Zip

62807

County

JACKSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026