TYLER DC WHITNEY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****42

License Status

ACTIVE

Business

First Name

TYLER

Middle

Last Name

WHITNEY

Business Name

TYLER DC WHITNEY

Original Issue Date

10/26/2023

Effective Date

04/19/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61603

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026