PATRICIA LYNN REICHARD Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****85

License Status

NOT RENEWED

Business

First Name

PATRICIA LYNN

Last Name

REICHARD

Business Name

PATRICIA LYNN REICHARD

Original Issue Date

10/20/2006

Effective Date

05/01/2018

Expiration Date

09/30/2020

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021