ALYSSA DOROTHY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****49

License Status

ACTIVE

Business

First Name

ALYSSA

Last Name

DOROTHY

Business Name

ALYSSA DOROTHY

Original Issue Date

09/16/2020

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

MARION

State

Zip

62959

County

WILLIAMSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/13/2026