KILEY M FAIRES Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209014128

License Status

ACTIVE

Business

First Name

KILEY

Middle

Last Name

FAIRES

Business Name

KILEY M FAIRES

Original Issue Date

03/22/2016

Effective Date

05/01/2024

Expiration Date

05/31/2026

City

GLEN CARBON

State

Zip

62034

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/02/2026