SANDRA ANN FADER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****62

License Status

ACTIVE

Business

First Name

SANDRA

Middle

ANN

Last Name

FADER

Business Name

SANDRA ANN FADER

Original Issue Date

09/28/2017

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026