CHARLOTTE FAY DOUGLAS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****98

License Status

ACTIVE

Business

First Name

CHARLOTTE FAY

Last Name

DOUGLAS

Business Name

CHARLOTTE FAY DOUGLAS

Original Issue Date

04/16/2015

Effective Date

04/09/2024

Expiration Date

05/31/2026

City

LINCOLN

State

Zip

62656

County

LIVINGSTON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026