STACEY L NEUBERT Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****59

License Status

NOT RENEWED

Business

First Name

STACEY L

Last Name

NEUBERT

Business Name

STACEY L NEUBERT

Original Issue Date

02/26/2015

Effective Date

06/02/2020

Expiration Date

08/31/2022

City

PEORIA

State

Zip

61615

County

MARSHALL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022