NATALIE JEN WHEATLEY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****38

License Status

NOT RENEWED

Business

First Name

NATALIE

Middle

JEN

Last Name

WHEATLEY

Business Name

NATALIE JEN WHEATLEY

Original Issue Date

07/06/2016

Effective Date

05/18/2018

Expiration Date

09/30/2020

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021