MARY BETH O'MEARA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****16

License Status

INACTIVE

Business

First Name

MARY

Middle

BETH

Last Name

O'MEARA

Business Name

MARY BETH O'MEARA

Original Issue Date

10/17/2019

Effective Date

07/20/2022

Expiration Date

05/31/2024

City

CHERRY VALLEY

State

Zip

61016

County

WINNEBAGO

Delegated Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/21/2022