MARY C KNUTSON 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

MARY C

Last Name

KNUTSON

Business Name

MARY C KNUTSON

Original Issue Date

07/24/2018

Effective Date

03/05/2024

Expiration Date

05/31/2026

City

DUNLAP

State

Zip

61525

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026