KAYLA DETERS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****11

License Status

ACTIVE

Business

First Name

KAYLA

Last Name

DETERS

Business Name

KAYLA DETERS

Original Issue Date

03/07/2018

Effective Date

05/02/2024

Expiration Date

05/31/2026

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026