MISTY D BIRNEY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****80

License Status

ACTIVE

Business

First Name

MISTY

Middle

Last Name

BIRNEY

Business Name

MISTY D BIRNEY

Original Issue Date

09/30/2016

Effective Date

04/10/2024

Expiration Date

05/31/2026

City

FESTUS

State

Zip

63028

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026