TERESA F WHITLATCH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****38

License Status

INACTIVE

Business

First Name

TERESA F

Last Name

WHITLATCH

Business Name

TERESA F WHITLATCH

Original Issue Date

11/19/2010

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2018