KIRSTIE L BROWN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****37

License Status

ACTIVE

Business

First Name

KIRSTIE

Middle

Last Name

BROWN

Business Name

KIRSTIE L BROWN

BusinessDBA

KIRSTIE L. RUTHSTROM

Original Issue Date

04/22/2022

Effective Date

03/05/2024

Expiration Date

05/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026