KELLY S AMERSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****13

License Status

INACTIVE

Business

First Name

KELLY

Middle

Last Name

AMERSON

Business Name

KELLY S AMERSON

Original Issue Date

08/15/2014

Effective Date

05/06/2020

Expiration Date

08/31/2022

City

MASCOUTAH

State

Zip

62258

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/19/2022