STEPHANIE DEEANN EDGAR Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****54

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

DEEANN

Last Name

EDGAR

Business Name

STEPHANIE DEEANN EDGAR

Original Issue Date

01/25/2026

Effective Date

03/11/2026

Expiration Date

05/31/2028

City

KENOSHA

State

Zip

53142

Delegated Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

03/11/2026