SALLY N COYLE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****63

License Status

NOT RENEWED

Business

First Name

SALLY N

Last Name

COYLE

Business Name

SALLY N COYLE

Original Issue Date

01/13/2015

Effective Date

06/10/2020

Expiration Date

08/31/2022

City

PRINCEVILLE

State

Zip

61559

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022