STEPHANIE M OWEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****55

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

OWEN

Business Name

STEPHANIE M OWEN

Original Issue Date

11/25/2024

Effective Date

11/25/2024

Expiration Date

05/31/2026

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026