NATASHA D BANCROFT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****74

License Status

ACTIVE

Business

First Name

NATASHA

Middle

Last Name

BANCROFT

Business Name

NATASHA D BANCROFT

Original Issue Date

06/03/2021

Effective Date

03/20/2026

Expiration Date

05/31/2028

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/20/2026