MELISSA S PHILLIPS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****58

License Status

ACTIVE

Business

First Name

MELISSA S

Last Name

PHILLIPS

Business Name

MELISSA S PHILLIPS

Original Issue Date

06/09/2016

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

SAINT JOSEPH

State

Zip

61873

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026