JOANNA L VANNARATH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****20

License Status

INACTIVE

Business

First Name

JOANNA

Middle

Last Name

VANNARATH

Business Name

JOANNA L VANNARATH

Original Issue Date

10/19/2012

Effective Date

05/07/2022

Expiration Date

05/31/2024

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2024