CAROL M PERENCHIO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****75

License Status

ACTIVE

Business

First Name

CAROL

Middle

Last Name

PERENCHIO

Business Name

CAROL M PERENCHIO

Original Issue Date

06/19/2001

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

EUREKA SPRINGS

State

Zip

72632

County

MCHENRY

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026

Case Number

2003005215

Action

Probation

Discipline Start Date

02/25/2004

Discipline End Date

09/19/2007

Discipline Reason

Drug addiction.