MICHELLE DIANNE NIEHAUS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****13

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

DIANNE

Last Name

NIEHAUS

Business Name

MICHELLE DIANNE NIEHAUS

Original Issue Date

01/11/2021

Effective Date

08/22/2022

Expiration Date

06/30/2024

City

COLMAR

State

Zip

62367

County

MCDONOUGH

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025