STEFANIE NICOLE MANLEY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****94

License Status

NOT RENEWED

Business

First Name

STEFANIE

Middle

NICOLE

Last Name

MANLEY

Business Name

STEFANIE NICOLE MANLEY

Original Issue Date

06/12/2020

Effective Date

06/12/2020

Expiration Date

08/31/2022

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

10/14/2022