BETH A KILLAM Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003871

License Status

INACTIVE

Business

First Name

BETH

Middle

Last Name

KILLAM

Business Name

BETH A KILLAM

Original Issue Date

10/01/2001

Effective Date

05/16/2022

Expiration Date

05/31/2024

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/16/2022