KILEY K SABOL 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

KILEY

Middle

Last Name

SABOL

Business Name

KILEY K SABOL

Original Issue Date

07/08/2019

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

PEORIA

State

Zip

61637

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/05/2026