ANISSA FAY WASHINGTON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****61

License Status

ACTIVE

Business

First Name

ANISSA

Middle

FAY

Last Name

WASHINGTON

Business Name

ANISSA FAY WASHINGTON

Original Issue Date

12/02/2015

Effective Date

03/10/2026

Expiration Date

05/31/2028

City

FLORISSANT

State

Zip

63031

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/10/2026