LAUREN J COWHERD Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

Last Name

COWHERD

Business Name

LAUREN J COWHERD

Original Issue Date

08/21/2014

Effective Date

03/16/2018

Expiration Date

09/30/2020

City

WASHINGTON

State

Zip

61571

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021