EMILY R ROACH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****37

License Status

ACTIVE

Business

First Name

EMILY

Middle

Last Name

ROACH

Business Name

EMILY R ROACH

Original Issue Date

05/21/2021

Effective Date

04/15/2024

Expiration Date

05/31/2026

City

WEST FRANKFORT

State

Zip

62896

County

FRANKLIN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026