HEATHER LANE MCCOLLOUGH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****45

License Status

ACTIVE

Business

First Name

HEATHER

Middle

LANE

Last Name

MCCOLLOUGH

Business Name

HEATHER LANE MCCOLLOUGH

Original Issue Date

08/02/2012

Effective Date

05/12/2024

Expiration Date

05/31/2026

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026