ETHAN ROBERT SPERRY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****32

License Status

ACTIVE

Business

First Name

ETHAN

Middle

ROBERT

Last Name

SPERRY

Business Name

ETHAN ROBERT SPERRY

Original Issue Date

09/04/2025

Effective Date

09/04/2025

Expiration Date

05/31/2026

City

DUNLAP

State

Zip

61525

County

PEORIA

Delegated Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

03/02/2026