HEATHER L DENTINO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

ACTIVE

Business

First Name

HEATHER

Middle

Last Name

DENTINO

Business Name

HEATHER L DENTINO

Original Issue Date

04/19/2023

Effective Date

03/26/2026

Expiration Date

05/31/2028

City

PEORIA

State

Zip

61614

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/26/2026