MIKEAL A CAPATI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****20

License Status

ACTIVE

Business

First Name

MIKEAL

Middle

Last Name

CAPATI

Business Name

MIKEAL A CAPATI

BusinessDBA

MIKEAL HARSH

Original Issue Date

08/10/2021

Effective Date

04/11/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026