ALISON M PEDDYCOART Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****44

License Status

ACTIVE

Business

First Name

ALISON

Middle

Last Name

PEDDYCOART

Business Name

ALISON M PEDDYCOART

Original Issue Date

10/31/2018

Effective Date

06/10/2024

Expiration Date

05/31/2026

City

ATHENS

State

Zip

62613

County

MENARD

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026