ANGELICA GRACE THOMPSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****45

License Status

INACTIVE

Business

First Name

ANGELICA

Middle

GRACE

Last Name

THOMPSON

Business Name

ANGELICA GRACE THOMPSON

Original Issue Date

07/24/2019

Effective Date

09/01/2022

Expiration Date

05/31/2024

City

MONROE

State

Zip

53566

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2024