NICOLE LEE FEDELE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****41

License Status

ACTIVE

Business

First Name

NICOLE

Middle

LEE

Last Name

FEDELE

Business Name

NICOLE LEE FEDELE

Original Issue Date

08/28/2014

Effective Date

03/18/2024

Expiration Date

05/31/2026

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026