ANGIE ROSE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****44

License Status

NOT RENEWED

Business

First Name

ANGIE

Last Name

ROSE

Business Name

ANGIE ROSE

Original Issue Date

07/13/2020

Effective Date

05/31/2022

Expiration Date

06/30/2024

City

QUINCY

State

Zip

62305

County

ADAMS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025