RENEE NICHOLE RUDER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****91

License Status

ACTIVE

Business

First Name

RENEE

Middle

NICHOLE

Last Name

RUDER

Business Name

RENEE NICHOLE RUDER

Original Issue Date

11/10/2025

Effective Date

03/09/2026

Expiration Date

05/31/2028

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2026