ANGELA D GRAHAM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

ACTIVE

Business

First Name

ANGELA

Middle

Last Name

GRAHAM

Business Name

ANGELA D GRAHAM

Original Issue Date

03/23/2019

Effective Date

03/17/2026

Expiration Date

05/31/2028

City

PEORIA

State

Zip

61637

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2026