BENJAMIN J GUTH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****38

License Status

ACTIVE

Business

First Name

BENJAMIN

Middle

Last Name

GUTH

Business Name

BENJAMIN J GUTH

Original Issue Date

02/16/2022

Effective Date

03/07/2026

Expiration Date

05/31/2028

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/07/2026