MATYA LEANN RILEY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****82

License Status

INACTIVE

Business

First Name

MATYA

Middle

LEANN

Last Name

RILEY

Business Name

MATYA LEANN RILEY

Original Issue Date

04/14/2020

Effective Date

08/26/2022

Expiration Date

05/31/2024

City

CHARLESTON

State

Zip

61920

County

COLES

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023