ERIN LEA COLLINSWORTH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****59

License Status

ACTIVE

Business

First Name

ERIN

Middle

LEA

Last Name

COLLINSWORTH

Business Name

ERIN LEA COLLINSWORTH

Original Issue Date

06/06/2018

Effective Date

06/28/2024

Expiration Date

05/31/2026

City

CHATHAM

State

Zip

62629

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026