ELIZABETH ANNE MADLEM Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****26

License Status

INACTIVE

Business

First Name

ELIZABETH

Middle

ANNE

Last Name

MADLEM

Business Name

ELIZABETH ANNE MADLEM

Original Issue Date

10/31/2013

Effective Date

05/07/2022

Expiration Date

05/31/2024

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2024