MELISSA A GLASS Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****66

License Status

INOPERATIVE

Business

First Name

MELISSA A

Last Name

GLASS

Business Name

MELISSA A GLASS

Original Issue Date

12/13/2005

Effective Date

04/23/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61603

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/23/2024