SCOTT R WILSON 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

SCOTT

Middle

Last Name

WILSON

Business Name

SCOTT R WILSON

Original Issue Date

04/22/2022

Effective Date

03/20/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61636

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026