STEPHANIE A VERDERAME Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****53

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

VERDERAME

Business Name

STEPHANIE A VERDERAME

Original Issue Date

09/27/2021

Effective Date

06/13/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Delegated Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

03/02/2026