ANNIE R WHITE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****51

License Status

ACTIVE

Business

First Name

ANNIE

Middle

Last Name

WHITE

Business Name

ANNIE R WHITE

Original Issue Date

05/22/2021

Effective Date

04/01/2024

Expiration Date

05/31/2026

City

JOLIET

State

Zip

60431

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026