MADISON A DUNHAM 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

MADISON

Middle

Last Name

DUNHAM

Business Name

MADISON A DUNHAM

Original Issue Date

10/24/2023

Effective Date

05/17/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61606

County

PEORIA

Delegated Controlled Substance Schedule

III IV

Ever Disciplined

LastModifiedDate

03/02/2026