RONALD L LOMBARD Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****41

License Status

ACTIVE

Business

First Name

RONALD

Middle

Last Name

LOMBARD

Business Name

RONALD L LOMBARD

Original Issue Date

09/15/2023

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

PEORIA

State

Zip

61602

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026