VICTORIA SUE PAYNE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****72

License Status

INACTIVE

Business

First Name

VICTORIA

Middle

SUE

Last Name

PAYNE

Business Name

VICTORIA SUE PAYNE

Original Issue Date

03/19/2022

Effective Date

03/16/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61603

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/16/2024