NICOLE M HUMPHREY Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****97

License Status

INOPERATIVE

Business

First Name

NICOLE

Middle

Last Name

HUMPHREY

Business Name

NICOLE M HUMPHREY

Original Issue Date

03/26/2020

Effective Date

08/17/2022

Expiration Date

05/31/2024

City

SAUGET

State

Zip

62206

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/03/2024