LESLIE M CARMACK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****86

License Status

ACTIVE

Business

First Name

LESLIE M

Last Name

CARMACK

Business Name

LESLIE M CARMACK

Original Issue Date

09/26/2008

Effective Date

05/31/2024

Expiration Date

05/31/2026

City

DOWNS

State

Zip

61736

County

MCLEAN

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026