STEPHANIE NICOLE DOOLIN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****56

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

NICOLE

Last Name

DOOLIN

Business Name

STEPHANIE NICOLE DOOLIN

Original Issue Date

01/17/2017

Effective Date

06/10/2020

Expiration Date

08/31/2022

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022