LEEANN R ROBERTS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****41

License Status

NOT RENEWED

Business

First Name

LEEANN

Middle

Last Name

ROBERTS

Business Name

LEEANN R ROBERTS

Original Issue Date

02/08/2021

Effective Date

05/14/2022

Expiration Date

06/30/2024

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025