MICHELLE M SERPICO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****98

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

SERPICO

Business Name

MICHELLE M SERPICO

Original Issue Date

11/01/2019

Effective Date

08/26/2022

Expiration Date

06/30/2024

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025