ETHAN S HARRIS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209019805

License Status

ACTIVE

Business

First Name

ETHAN

Middle

Last Name

HARRIS

Business Name

ETHAN S HARRIS

Original Issue Date

08/08/2019

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

SOUTH BELOIT

State

Zip

61080

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/04/2026