STEFANIE A WOODFALL 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

STEFANIE

Middle

Last Name

WOODFALL

Business Name

STEFANIE A WOODFALL

Original Issue Date

03/05/2014

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

PEORIA

State

Zip

61615

County

LEE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/05/2026