TERESA LANE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****60

License Status

ACTIVE

Business

First Name

TERESA

Last Name

LANE

Business Name

TERESA LANE

Original Issue Date

04/04/2011

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

PEORIA

State

Zip

61615

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/05/2026