MICHAEL A BEHRENS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****02

License Status

INACTIVE

Business

First Name

MICHAEL

Middle

Last Name

BEHRENS

Business Name

MICHAEL A BEHRENS

Original Issue Date

05/22/2017

Effective Date

06/04/2024

Expiration Date

05/31/2026

City

QUINCY

State

Zip

62301

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/05/2025