ALYSSA MARIE SMOLEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****09

License Status

ACTIVE

Business

First Name

ALYSSA

Middle

MARIE

Last Name

SMOLEN

Business Name

ALYSSA MARIE SMOLEN

Original Issue Date

08/27/2021

Effective Date

03/07/2024

Expiration Date

05/31/2026

City

HENRY

State

Zip

61537

County

MARSHALL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026