THERESA ALLEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****18

License Status

ACTIVE

Business

First Name

THERESA

Last Name

ALLEN

Business Name

THERESA ALLEN

Original Issue Date

11/05/2019

Effective Date

03/10/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026