REBECCA R WIGANT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****92

License Status

ACTIVE

Business

First Name

REBECCA

Middle

Last Name

WIGANT

Business Name

REBECCA R WIGANT

Original Issue Date

10/09/2012

Effective Date

04/19/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Delegated Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

03/02/2026