VICTORIA SUE PAYNE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****85

License Status

INACTIVE

Business

First Name

VICTORIA

Middle

SUE

Last Name

PAYNE

Business Name

VICTORIA SUE PAYNE

Original Issue Date

05/14/2020

Effective Date

05/06/2022

Expiration Date

05/31/2024

City

PEKIN

State

Zip

61554

County

TAZEWELL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2024