NANCY L DEHAAN 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

NANCY

Middle

Last Name

DEHAAN

Business Name

NANCY L DEHAAN

Original Issue Date

01/05/2004

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

DUNLAP

State

Zip

61525

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026