MELISSA KAY LEE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****25

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

KAY

Last Name

LEE

Business Name

MELISSA KAY LEE

Original Issue Date

10/27/2018

Effective Date

10/27/2018

Expiration Date

09/30/2020

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Specialty/Qualifier

PRACTITIONER

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021