LYNETTE K EETEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****56

License Status

ACTIVE

Business

First Name

LYNETTE

Middle

Last Name

EETEN

Business Name

LYNETTE K EETEN

Original Issue Date

10/05/2015

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

MAPLETON

State

Zip

61547

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026