MATTHEW R CARR Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****58

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

CARR

Business Name

MATTHEW R CARR

Original Issue Date

08/05/2011

Effective Date

05/22/2022

Expiration Date

06/30/2024

City

PEORIA

State

Zip

61636

County

MCLEAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025