AMBER MARIE KELLERMAN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209021588

License Status

INACTIVE

Business

First Name

AMBER

Middle

MARIE

Last Name

KELLERMAN

Business Name

AMBER MARIE KELLERMAN

BusinessDBA

FARK

Original Issue Date

07/09/2020

Effective Date

07/21/2022

Expiration Date

05/31/2024

City

PINCKNEYVILLE

State

Zip

62274

County

PERRY

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/21/2022