ANDREA L STAPLES Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****66

License Status

ACTIVE

Business

First Name

ANDREA

Middle

Last Name

STAPLES

Business Name

ANDREA L STAPLES

Original Issue Date

09/04/2024

Effective Date

03/17/2026

Expiration Date

05/31/2028

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2026