ELIZABETH A HAYES Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****87

License Status

INACTIVE

Business

First Name

ELIZABETH

Middle

Last Name

HAYES

Business Name

ELIZABETH A HAYES

Original Issue Date

06/25/2012

Effective Date

03/22/2018

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61636

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/21/2018