KERIN KAY CUMMINS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****15

License Status

INACTIVE

Business

First Name

KERIN

Middle

KAY

Last Name

CUMMINS

Business Name

KERIN KAY CUMMINS

Original Issue Date

01/16/2014

Effective Date

04/12/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2025