HEATHER D LANSAW 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

HEATHER

Middle

Last Name

LANSAW

Business Name

HEATHER D LANSAW

Original Issue Date

08/13/2009

Effective Date

03/20/2026

Expiration Date

05/31/2028

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/20/2026