HEATHER J VITTETOW Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****98

License Status

ACTIVE

Business

First Name

HEATHER

Middle

Last Name

VITTETOW

Business Name

HEATHER J VITTETOW

Original Issue Date

06/27/2024

Effective Date

03/25/2026

Expiration Date

05/31/2028

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/25/2026