STEPHANIE L MCCABE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****33

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

MCCABE

Business Name

STEPHANIE L MCCABE

Original Issue Date

12/09/2011

Effective Date

05/18/2018

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61603

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021