PAMELA J MARTIN 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

PAMELA J

Last Name

MARTIN

Business Name

PAMELA J MARTIN

Original Issue Date

07/16/2022

Effective Date

06/01/2024

Expiration Date

05/31/2026

City

URBANA

State

Zip

61801

County

KENDALL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026