SOFIA C WHEELER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****52

License Status

NOT RENEWED

Business

First Name

SOFIA

Middle

Last Name

WHEELER

Business Name

SOFIA C WHEELER

Original Issue Date

04/02/2019

Effective Date

09/28/2020

Expiration Date

05/31/2022

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

03/06/2024