NICHOLE S. STANLEY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****40

License Status

ACTIVE

Business

First Name

NICHOLE

Middle

Last Name

STANLEY

Business Name

NICHOLE S. STANLEY

Original Issue Date

12/10/2019

Effective Date

03/14/2026

Expiration Date

05/31/2028

City

QUINCY

State

Zip

62301

County

ADAMS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/14/2026