MELINDA L LANGE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****72

License Status

ACTIVE

Business

First Name

MELINDA L

Last Name

LANGE

Business Name

MELINDA L LANGE

Original Issue Date

05/29/2014

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

PEORIA

State

Zip

61637

County

PEORIA

Delegated Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

03/03/2026