BEVERLY JOY LA MADRID Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****96

License Status

ACTIVE

Business

First Name

BEVERLY

Middle

JOY

Last Name

LA MADRID

Business Name

BEVERLY JOY LA MADRID

Original Issue Date

01/02/2018

Effective Date

04/30/2024

Expiration Date

05/31/2026

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026