ALEXIS S DUBOIS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****12

License Status

NOT RENEWED

Business

First Name

ALEXIS

Middle

Last Name

DUBOIS

Business Name

ALEXIS S DUBOIS

Original Issue Date

03/28/2022

Effective Date

03/28/2022

Expiration Date

06/30/2024

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025