JEFFREY T FLACH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

ACTIVE

Business

First Name

JEFFREY

Middle

Last Name

FLACH

Business Name

JEFFREY T FLACH

Original Issue Date

11/17/2020

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026