HEIDI L GENDRON 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

HEIDI

Middle

Last Name

GENDRON

Business Name

HEIDI L GENDRON

Original Issue Date

08/17/2016

Effective Date

04/03/2024

Expiration Date

05/31/2026

City

BLOOMINGTON

State

Zip

61704

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026