STEFANIE NICOLE MANLEY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****86

License Status

INACTIVE

Business

First Name

STEFANIE

Middle

NICOLE

Last Name

MANLEY

Business Name

STEFANIE NICOLE MANLEY

Original Issue Date

06/22/2012

Effective Date

04/17/2018

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

03/08/2020