SARAH MAE CHEATHAM 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

SARAH

Middle

MAE

Last Name

CHEATHAM

Business Name

SARAH MAE CHEATHAM

Original Issue Date

10/04/2016

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/05/2026