KEENAN JAMAAL HOLMES Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209023892

License Status

NOT RENEWED

Business

First Name

KEENAN

Middle

JAMAAL

Last Name

HOLMES

Business Name

KEENAN JAMAAL HOLMES

Original Issue Date

08/26/2021

Effective Date

08/26/2021

Expiration Date

08/31/2022

City

PEORIA

State

Zip

61637

County

ADAMS

Ever Disciplined

LastModifiedDate

10/14/2022