BETH L MATHEWS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****33

License Status

INACTIVE

Business

First Name

BETH L

Last Name

MATHEWS

Business Name

BETH L MATHEWS

Original Issue Date

06/10/2008

Effective Date

03/11/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2018