MELISSA S TATE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****81

License Status

ACTIVE

Business

First Name

MELISSA S

Last Name

TATE

Business Name

MELISSA S TATE

Original Issue Date

04/30/2003

Effective Date

03/25/2024

Expiration Date

05/31/2026

City

SIDNEY

State

Zip

68177

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026