NICHOLE FELDMAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****91

License Status

NOT RENEWED

Business

First Name

NICHOLE

Last Name

FELDMAN

Business Name

NICHOLE FELDMAN

Original Issue Date

11/17/2021

Effective Date

08/04/2022

Expiration Date

06/30/2024

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025