STEPHEN WESTHAFER 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

STEPHEN

Last Name

WESTHAFER

Business Name

STEPHEN WESTHAFER

Original Issue Date

08/20/2024

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026