EDWARD E ETHERTON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209009512

License Status

ACTIVE

Business

First Name

EDWARD

Middle

Last Name

ETHERTON

Business Name

EDWARD E ETHERTON

Original Issue Date

04/17/2012

Effective Date

10/12/2024

Expiration Date

05/31/2026

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

03/02/2026