CAMILLA L ROE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****75

License Status

ACTIVE

Business

First Name

CAMILLA

Middle

Last Name

ROE

Business Name

CAMILLA L ROE

Original Issue Date

04/27/2024

Effective Date

04/27/2024

Expiration Date

05/31/2026

City

DAVIS JUNCTION

State

Zip

61020

County

OGLE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026