MICHELLE M STEPHENS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****38

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

Last Name

STEPHENS

Business Name

MICHELLE M STEPHENS

Original Issue Date

08/03/2016

Effective Date

05/06/2024

Expiration Date

05/31/2026

City

ROANOKE

State

Zip

61561

County

WOODFORD

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026