MCKENZIE LEIGH NIKONOVICH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****75

License Status

ACTIVE

Business

First Name

MCKENZIE

Middle

LEIGH

Last Name

NIKONOVICH

Business Name

MCKENZIE LEIGH NIKONOVICH

Original Issue Date

02/23/2026

Effective Date

02/23/2026

Expiration Date

05/31/2026

City

MARYVILLE

State

Zip

62062

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026