HEATHER R FREY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****97

License Status

INACTIVE

Business

First Name

HEATHER

Middle

Last Name

FREY

Business Name

HEATHER R FREY

Original Issue Date

10/06/2008

Effective Date

04/07/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/11/2026