RYAN J KING 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

RYAN

Middle

Last Name

KING

Business Name

RYAN J KING

Original Issue Date

03/18/2026

Effective Date

03/18/2026

Expiration Date

05/31/2028

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/18/2026