VALERIE V FORTIER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****93

License Status

ACTIVE

Business

First Name

VALERIE

Middle

Last Name

FORTIER

Business Name

VALERIE V FORTIER

Original Issue Date

09/20/2017

Effective Date

03/18/2026

Expiration Date

05/31/2028

City

PEORIA

State

Zip

61636

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/18/2026