CHARLES HARRISON HAWTHORNE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209023856

License Status

ACTIVE

Business

First Name

CHARLES

Middle

HARRISON

Last Name

HAWTHORNE

Business Name

CHARLES HARRISON HAWTHORNE

Original Issue Date

08/20/2021

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

PEORIA

State

Zip

61637

County

ADAMS

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/03/2026