ETHAN A SANDERS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****28

License Status

ACTIVE

Business

First Name

ETHAN

Middle

Last Name

SANDERS

Business Name

ETHAN A SANDERS

Original Issue Date

01/07/2026

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

DECATUR

State

Zip

62526

County

MACON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026