MICHELLE BENNETT Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****28

License Status

INACTIVE

Business

First Name

MICHELLE

Last Name

BENNETT

Business Name

MICHELLE BENNETT

Original Issue Date

07/15/2021

Effective Date

04/02/2024

Expiration Date

05/31/2026

City

WINNEBAGO

State

Zip

61088

County

WINNEBAGO

Delegated Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/04/2024