MECHELLE NICOLE LYLES Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****09

License Status

NOT RENEWED

Business

First Name

MECHELLE

Middle

NICOLE

Last Name

LYLES

Business Name

MECHELLE NICOLE LYLES

Original Issue Date

05/26/2022

Effective Date

05/26/2022

Expiration Date

06/30/2024

City

ALTON

State

Zip

62002

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025