MONICA L INTERIAL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

ACTIVE

Business

First Name

MONICA

Middle

Last Name

INTERIAL

Business Name

MONICA L INTERIAL

Original Issue Date

04/12/2024

Effective Date

04/12/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Delegated Controlled Substance Schedule

II IV

Ever Disciplined

LastModifiedDate

03/02/2026