MARY C FARLEY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****48

License Status

ACTIVE

Business

First Name

MARY

Middle

Last Name

FARLEY

Business Name

MARY C FARLEY

Original Issue Date

04/14/2021

Effective Date

03/08/2026

Expiration Date

05/31/2028

City

ROCKFORD

State

Zip

61114

County

BOONE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/08/2026