CHERYL A CARMACK 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

CHERYL

Middle

Last Name

CARMACK

Business Name

CHERYL A CARMACK

Original Issue Date

09/27/2012

Effective Date

03/09/2026

Expiration Date

05/31/2028

City

BLOOMINGTON

State

Zip

61701

County

DE WITT

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2026