JEREMY TADD WINGET Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****36

License Status

ACTIVE

Business

First Name

JEREMY

Middle

TADD

Last Name

WINGET

Business Name

JEREMY TADD WINGET

Original Issue Date

10/29/2009

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

PEORIA

State

Zip

61606

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026