KAYLA C FERMAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****24

License Status

NOT RENEWED

Business

First Name

KAYLA

Middle

Last Name

FERMAN

Business Name

KAYLA C FERMAN

Original Issue Date

04/01/2020

Effective Date

08/02/2022

Expiration Date

06/30/2024

City

PEORIA

State

Zip

61636

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025