MEGAN MARIE SAN JOSE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****03

License Status

ACTIVE

Business

First Name

MEGAN

Middle

MARIE

Last Name

SAN JOSE

Business Name

MEGAN MARIE SAN JOSE

Original Issue Date

09/01/2011

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

WASHINGTON

State

Zip

61571

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/13/2026