MARK JOHN VANVIEGEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****10

License Status

ACTIVE

Business

First Name

MARK

Middle

JOHN

Last Name

VANVIEGEN

Business Name

MARK JOHN VANVIEGEN

Original Issue Date

01/16/2026

Effective Date

01/16/2026

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026