MELANIE A PHILLIPS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****52

License Status

ACTIVE

Business

First Name

MELANIE

Middle

Last Name

PHILLIPS

Business Name

MELANIE A PHILLIPS

Original Issue Date

03/12/2019

Effective Date

06/26/2024

Expiration Date

05/31/2026

City

DECATUR

State

Zip

62526

County

MACON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026