ANGELA K ANSELM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****15

License Status

ACTIVE

Business

First Name

ANGELA

Middle

Last Name

ANSELM

Business Name

ANGELA K ANSELM

Original Issue Date

07/02/2010

Effective Date

05/28/2024

Expiration Date

05/31/2026

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026