DAWN MARIE RICHARDS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****40

License Status

ACTIVE

Business

First Name

DAWN

Middle

MARIE

Last Name

RICHARDS

Business Name

DAWN MARIE RICHARDS

Original Issue Date

07/11/2024

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

PEORIA

State

Zip

61603

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/05/2026