HEATHER N ROTHERT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****12

License Status

ACTIVE

Business

First Name

HEATHER

Middle

Last Name

ROTHERT

Business Name

HEATHER N ROTHERT

Original Issue Date

02/10/2015

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/03/2026