DEBRA M CUNNINGHAM Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****01

License Status

INOPERATIVE

Business

First Name

DEBRA M

Last Name

CUNNINGHAM

Business Name

DEBRA M CUNNINGHAM

Original Issue Date

02/24/2005

Effective Date

12/04/2024

Expiration Date

05/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

12/04/2024