ASHLEY D GREENWALT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****65

License Status

ACTIVE

Business

First Name

ASHLEY

Middle

Last Name

GREENWALT

Business Name

ASHLEY D GREENWALT

Original Issue Date

11/06/2025

Effective Date

11/06/2025

Expiration Date

05/31/2026

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026