TERESA L STEPHENS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****75

License Status

NOT RENEWED

Business

First Name

TERESA

Middle

Last Name

STEPHENS

Business Name

TERESA L STEPHENS

Original Issue Date

08/01/2001

Effective Date

05/11/2022

Expiration Date

06/30/2024

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025