AMBER GAIL ISHMAEL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****85

License Status

NOT RENEWED

Business

First Name

AMBER

Middle

GAIL

Last Name

ISHMAEL

Business Name

AMBER GAIL ISHMAEL

Original Issue Date

08/02/2017

Effective Date

07/20/2022

Expiration Date

06/30/2024

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025