LUCILLE E SMALLHORN 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

LUCILLE

Middle

Last Name

SMALLHORN

Business Name

LUCILLE E SMALLHORN

Original Issue Date

08/12/2024

Effective Date

03/13/2026

Expiration Date

05/31/2028

City

URBANA

State

Zip

61801

County

VERMILION

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/13/2026