AMI LYNN BROUGHTON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****24

License Status

ACTIVE

Business

First Name

AMI

Middle

LYNN

Last Name

BROUGHTON

Business Name

AMI LYNN BROUGHTON

Original Issue Date

07/18/2016

Effective Date

03/24/2026

Expiration Date

05/31/2028

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/24/2026