DEBBIE NOVOTNEY WIETFELDT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****80

License Status

ACTIVE

Business

First Name

DEBBIE

Middle

NOVOTNEY

Last Name

WIETFELDT

Business Name

DEBBIE NOVOTNEY WIETFELDT

Original Issue Date

06/16/2017

Effective Date

04/11/2024

Expiration Date

05/31/2026

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Delegated Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

03/02/2026