LUKE R ZUMBAHLEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****28

License Status

ACTIVE

Business

First Name

LUKE

Middle

Last Name

ZUMBAHLEN

Business Name

LUKE R ZUMBAHLEN

Original Issue Date

04/25/2018

Effective Date

05/22/2024

Expiration Date

05/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026