TIM ENTZEROTH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209027286

License Status

ACTIVE

Business

First Name

TIM

Last Name

ENTZEROTH

Business Name

TIM ENTZEROTH

Original Issue Date

04/25/2023

Effective Date

05/15/2024

Expiration Date

05/31/2026

City

GLEN CARBON

State

Zip

62034

Ever Disciplined

LastModifiedDate

03/02/2026