NICOLE S BRADSHAW Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****78

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

BRADSHAW

Business Name

NICOLE S BRADSHAW

Original Issue Date

05/12/2020

Effective Date

04/06/2024

Expiration Date

05/31/2026

City

QUINCY

State

Zip

62305

County

ADAMS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026