MONIQUE CLINTSMAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****45

License Status

ACTIVE

Business

First Name

MONIQUE

Last Name

CLINTSMAN

Business Name

MONIQUE CLINTSMAN

Original Issue Date

11/04/2025

Effective Date

11/04/2025

Expiration Date

05/31/2026

City

GODFREY

State

Zip

62035

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026