PENNY ANN LIEBBE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****61

License Status

ACTIVE

Business

First Name

PENNY

Middle

ANN

Last Name

LIEBBE

Business Name

PENNY ANN LIEBBE

Original Issue Date

12/01/2020

Effective Date

03/13/2024

Expiration Date

05/31/2026

City

ROCK ISLAND

State

Zip

61201

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026