BETH A PHELPS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005374

License Status

INACTIVE

Business

First Name

BETH A

Last Name

PHELPS

Business Name

BETH A PHELPS

Original Issue Date

11/23/2004

Effective Date

04/19/2018

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/19/2018