MICHAEL ANDREW MARSHALL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****43

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

ANDREW

Last Name

MARSHALL

Business Name

MICHAEL ANDREW MARSHALL

Original Issue Date

07/10/2020

Effective Date

05/14/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61636

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026