MARY ELIZABETH LEWIS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****02

License Status

ACTIVE

Business

First Name

MARY

Middle

ELIZABETH

Last Name

LEWIS

Business Name

MARY ELIZABETH LEWIS

Original Issue Date

10/30/2014

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

PEORIA

State

Zip

61614

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/22/2026