NICOLE D SORRENTINO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****82

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

SORRENTINO

Business Name

NICOLE D SORRENTINO

Original Issue Date

11/06/2024

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

BROOKFIELD

State

Zip

53005

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026