STEPHANIE MICKLEY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****44

License Status

ACTIVE

Business

First Name

STEPHANIE

Last Name

MICKLEY

Business Name

STEPHANIE MICKLEY

Original Issue Date

08/17/2021

Effective Date

03/26/2024

Expiration Date

05/31/2026

City

PRINCETON

State

Zip

61356

County

BUREAU

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026