TERESA A STOUT 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

TERESA

Middle

Last Name

STOUT

Business Name

TERESA A STOUT

Original Issue Date

08/29/2018

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

STERLING

State

Zip

61081

County

WHITESIDE

Specialty/Qualifier

PRACTITIONER

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026