RACHAL WALDSCHMIDT Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****45

License Status

INOPERATIVE

Business

First Name

RACHAL

Last Name

WALDSCHMIDT

Business Name

RACHAL WALDSCHMIDT

Original Issue Date

07/20/2016

Effective Date

07/20/2016

Expiration Date

05/31/2018

City

PEORIA

State

Zip

61614

County

PEORIA

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/01/2018