NICOLE E NYBERG Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****77

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

NYBERG

Business Name

NICOLE E NYBERG

Original Issue Date

04/08/2014

Effective Date

05/03/2024

Expiration Date

05/31/2026

City

BLOOMINGTON

State

Zip

61705

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

03/02/2026