HEATHER D MAI-ROECKER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****95

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

MAI-ROECKER

Business Name

HEATHER D MAI-ROECKER

Original Issue Date

10/03/2017

Effective Date

04/10/2018

Expiration Date

09/30/2020

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021