DENNIS A RICHRATH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****50

License Status

ACTIVE

Business

First Name

DENNIS

Middle

Last Name

RICHRATH

Business Name

DENNIS A RICHRATH

Original Issue Date

08/29/2016

Effective Date

04/12/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61606

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026