TESSA LYN REXROAD Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****75

License Status

INACTIVE

Business

First Name

TESSA

Middle

LYN

Last Name

REXROAD

Business Name

TESSA LYN REXROAD

Original Issue Date

08/24/2019

Effective Date

05/10/2024

Expiration Date

05/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2024