STEPHANIE M BERLIN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****57

License Status

INACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

BERLIN

Business Name

STEPHANIE M BERLIN

Original Issue Date

10/08/2020

Effective Date

04/15/2024

Expiration Date

05/31/2026

City

DIXON

State

Zip

61021

County

LEE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/10/2025