JEANNE MARIE PERINO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

NOT RENEWED

Business

First Name

JEANNE

Middle

MARIE

Last Name

PERINO

Business Name

JEANNE MARIE PERINO

Original Issue Date

10/29/2008

Effective Date

03/16/2018

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61606

County

PEORIA

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021