NICHOLAS C ALFANO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****87

License Status

ACTIVE

Business

First Name

NICHOLAS

Middle

Last Name

ALFANO

Business Name

NICHOLAS C ALFANO

Original Issue Date

01/16/2025

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

LOVES PARK

State

Zip

61111

County

BOONE

Delegated Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

03/03/2026