TODD A LA DAGE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209014103

License Status

ACTIVE

Business

First Name

TODD

Middle

Last Name

LA DAGE

Business Name

TODD A LA DAGE

Original Issue Date

03/17/2016

Effective Date

03/26/2026

Expiration Date

05/31/2028

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/26/2026