MARCIA A STREET Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****65

License Status

ACTIVE

Business

First Name

MARCIA

Middle

Last Name

STREET

Business Name

MARCIA A STREET

Original Issue Date

01/22/2019

Effective Date

03/27/2024

Expiration Date

05/31/2026

City

NEWTON

State

Zip

62448

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026