DIEDRA M AHLERT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****15

License Status

ACTIVE

Business

First Name

DIEDRA

Middle

Last Name

AHLERT

Business Name

DIEDRA M AHLERT

Original Issue Date

09/24/2022

Effective Date

03/26/2024

Expiration Date

05/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026