ANTONIANNETTE PATE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****18

License Status

ACTIVE

Business

First Name

ANTONIANNETTE

Last Name

PATE

Business Name

ANTONIANNETTE PATE

Original Issue Date

01/31/2018

Effective Date

04/09/2024

Expiration Date

05/31/2026

City

DECATUR

State

Zip

62521

County

MACON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026