JUDITH ANNE MCCONVILLE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****45

License Status

NOT RENEWED

Business

First Name

JUDITH ANNE

Last Name

MCCONVILLE

Business Name

JUDITH ANNE MCCONVILLE

Original Issue Date

01/26/2015

Effective Date

06/09/2022

Expiration Date

06/30/2024

City

PERU

State

Zip

61354

County

LA SALLE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025