CHARLES W BEINBORN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

ACTIVE

Business

First Name

CHARLES

Middle

Last Name

BEINBORN

Business Name

CHARLES W BEINBORN

Original Issue Date

03/24/2016

Effective Date

05/28/2024

Expiration Date

05/31/2026

City

GALENA

State

Zip

61036

County

JO DAVIESS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026