MARIAN K WORTHY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****86

License Status

NOT RENEWED

Business

First Name

MARIAN K

Last Name

WORTHY

Business Name

MARIAN K WORTHY

Original Issue Date

09/25/2003

Effective Date

07/07/2020

Expiration Date

08/31/2022

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022