STEPHANIE J WITHEROW Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****30

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

WITHEROW

Business Name

STEPHANIE J WITHEROW

Original Issue Date

12/11/2014

Effective Date

04/24/2024

Expiration Date

05/31/2026

City

MOLINE

State

Zip

61265

County

SCOTT

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026