NICOLE M MIETHE 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

NICOLE

Middle

Last Name

MIETHE

Business Name

NICOLE M MIETHE

Original Issue Date

03/11/2019

Effective Date

04/23/2024

Expiration Date

05/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026