AMY M DAVIS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****29

License Status

ACTIVE

Business

First Name

AMY

Middle

Last Name

DAVIS

Business Name

AMY M DAVIS

Original Issue Date

05/22/2006

Effective Date

04/28/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61615

County

TAZEWELL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026