KEITH JAMES CERMAK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209010665

License Status

ACTIVE

Business

First Name

KEITH

Middle

JAMES

Last Name

CERMAK

Business Name

KEITH JAMES CERMAK

Original Issue Date

08/20/2013

Effective Date

03/17/2026

Expiration Date

05/31/2028

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/17/2026