ASHLEY L BODINE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****54

License Status

ACTIVE

Business

First Name

ASHLEY

Middle

Last Name

BODINE

Business Name

ASHLEY L BODINE

Original Issue Date

03/30/2016

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026