MATTHEW JOSEPH WILLIS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209019778

License Status

ACTIVE

Business

First Name

MATTHEW

Middle

JOSEPH

Last Name

WILLIS

Business Name

MATTHEW JOSEPH WILLIS

Original Issue Date

08/07/2019

Effective Date

04/03/2024

Expiration Date

05/31/2026

City

GERMANTOWN HILLS

State

Zip

61548

County

WOODFORD

Ever Disciplined

LastModifiedDate

03/02/2026