ERIN E BANNERMAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****25

License Status

ACTIVE

Business

First Name

ERIN

Middle

Last Name

BANNERMAN

Business Name

ERIN E BANNERMAN

Original Issue Date

04/19/2016

Effective Date

03/06/2026

Expiration Date

05/31/2028

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/06/2026