ZOE AUGUSTA DUE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****68

License Status

ACTIVE

Business

First Name

ZOE

Middle

AUGUSTA

Last Name

DUE

Business Name

ZOE AUGUSTA DUE

Original Issue Date

09/08/2021

Effective Date

04/01/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61606

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026