MICHELLE S DAVIS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****19

License Status

NOT RENEWED

Business

First Name

MICHELLE S

Last Name

DAVIS

Business Name

MICHELLE S DAVIS

Original Issue Date

08/09/2017

Effective Date

04/03/2018

Expiration Date

09/30/2020

City

INDIANAPOLIS

State

Zip

46240

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021