DEBORAH MOFOLUWA MARSHALL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****07

License Status

ACTIVE

Business

First Name

DEBORAH

Middle

MOFOLUWA

Last Name

MARSHALL

Business Name

DEBORAH MOFOLUWA MARSHALL

Original Issue Date

04/15/2022

Effective Date

03/11/2026

Expiration Date

05/31/2028

City

PEORIA

State

Zip

61637

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2026