SARA NICOLE DOUGLAS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****50

License Status

ACTIVE

Business

First Name

SARA

Middle

NICOLE

Last Name

DOUGLAS

Business Name

SARA NICOLE DOUGLAS

Original Issue Date

02/06/2025

Effective Date

02/06/2025

Expiration Date

05/31/2026

City

QUINCY

State

Zip

62301

County

ADAMS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026