ROBERT E WORTHEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****01

License Status

ACTIVE

Business

First Name

ROBERT

Middle

Last Name

WORTHEN

Business Name

ROBERT E WORTHEN

Original Issue Date

03/20/2023

Effective Date

04/19/2024

Expiration Date

05/31/2026

City

FAIRBURY

State

Zip

61739

County

LIVINGSTON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026