SUSI MADRIGAL-LEON 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

SUSI

Last Name

MADRIGAL-LEON

Business Name

SUSI MADRIGAL-LEON

Original Issue Date

11/09/2021

Effective Date

03/04/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61614

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026