MICHELE MARIE WILKINSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****80

License Status

NOT RENEWED

Business

First Name

MICHELE

Middle

MARIE

Last Name

WILKINSON

Business Name

MICHELE MARIE WILKINSON

Original Issue Date

03/06/2014

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021