EMILY L MARTIN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****77

License Status

ACTIVE

Business

First Name

EMILY

Middle

Last Name

MARTIN

Business Name

EMILY L MARTIN

Original Issue Date

12/07/2021

Effective Date

04/12/2024

Expiration Date

05/31/2026

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026