AULBREY E DE ALWIS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****76

License Status

INACTIVE

Business

First Name

AULBREY

Middle

Last Name

DE ALWIS

Business Name

AULBREY E DE ALWIS

Original Issue Date

03/22/2016

Effective Date

06/07/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/04/2024