RHONDA R HEATHERLY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****22

License Status

ACTIVE

Business

First Name

RHONDA

Middle

Last Name

HEATHERLY

Business Name

RHONDA R HEATHERLY

Original Issue Date

11/09/2017

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

DUQUOIN

State

Zip

62832

County

WILLIAMSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026