HEIDI ANN FIELDS 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

HEIDI

Middle

ANN

Last Name

FIELDS

Business Name

HEIDI ANN FIELDS

Original Issue Date

07/15/2016

Effective Date

03/07/2024

Expiration Date

05/31/2026

City

EAST ALTON

State

Zip

62024

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026