MEGAN M THIBODEAU Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****64

License Status

ACTIVE

Business

First Name

MEGAN

Middle

Last Name

THIBODEAU

Business Name

MEGAN M THIBODEAU

Original Issue Date

01/18/2017

Effective Date

04/15/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026