ROBIN MICHELLE ANDERSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****64

License Status

ACTIVE

Business

First Name

ROBIN

Middle

MICHELLE

Last Name

ANDERSON

Business Name

ROBIN MICHELLE ANDERSON

Original Issue Date

01/14/2025

Effective Date

03/18/2026

Expiration Date

05/31/2028

City

MATTOON

State

Zip

61938

County

COLES

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/18/2026