RILEY R CLUBB 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

RILEY

Middle

Last Name

CLUBB

Business Name

RILEY R CLUBB

Original Issue Date

07/08/2024

Effective Date

03/21/2026

Expiration Date

05/31/2028

City

MARYVILLE

State

Zip

62062

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/21/2026