TIMOTHY R BROWN 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

TIMOTHY

Middle

Last Name

BROWN

Business Name

TIMOTHY R BROWN

Original Issue Date

02/06/2025

Effective Date

03/12/2026

Expiration Date

05/31/2028

City

PEORIA

State

Zip

61637

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/12/2026