MELYSSA G WIGGINS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****91

License Status

ACTIVE

Business

First Name

MELYSSA

Middle

Last Name

WIGGINS

Business Name

MELYSSA G WIGGINS

Original Issue Date

04/06/2019

Effective Date

04/12/2024

Expiration Date

05/31/2026

City

MCLEANSBORO

State

Zip

62859

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026