KATHERINE MONICA KEELER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

NOT RENEWED

Business

First Name

KATHERINE

Middle

MONICA

Last Name

KEELER

Business Name

KATHERINE MONICA KEELER

Original Issue Date

11/01/2019

Effective Date

07/13/2020

Expiration Date

08/31/2022

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022