JENNIFER NICOLE WILLMAN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****27

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

NICOLE

Last Name

WILLMAN

Business Name

JENNIFER NICOLE WILLMAN

Original Issue Date

08/30/2021

Effective Date

05/13/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61615

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2025