ERIC J JUDD Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****51

License Status

INACTIVE

Business

First Name

ERIC

Middle

Last Name

JUDD

Business Name

ERIC J JUDD

Original Issue Date

09/16/2020

Effective Date

06/07/2022

Expiration Date

05/31/2024

City

PEORIA

State

Zip

61605

County

PEORIA

Delegated Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

03/31/2023