STEPHANIE N WHITLOCK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****25

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

WHITLOCK

Business Name

STEPHANIE N WHITLOCK

Original Issue Date

07/18/2019

Effective Date

05/14/2024

Expiration Date

05/31/2026

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026