FARAH PHILIPPE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****54

License Status

ACTIVE

Business

First Name

FARAH

Last Name

PHILIPPE

Business Name

FARAH PHILIPPE

Original Issue Date

02/09/2025

Effective Date

02/09/2025

Expiration Date

05/31/2026

City

MOWEAQUA

State

Zip

62550

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026