HEIDI A ISRAEL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****65

License Status

ACTIVE

Business

First Name

HEIDI

Middle

Last Name

ISRAEL

Business Name

HEIDI A ISRAEL

Original Issue Date

10/04/2019

Effective Date

05/10/2024

Expiration Date

05/31/2026

City

CHESTERFIELD

State

Zip

63017

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026