BECCA D BARTH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

ACTIVE

Business

First Name

BECCA

Middle

Last Name

BARTH

Business Name

BECCA D BARTH

Original Issue Date

10/05/2021

Effective Date

03/18/2026

Expiration Date

05/31/2028

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/18/2026