MELISSA LYNN KEITH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****40

License Status

ACTIVE

Business

First Name

MELISSA

Middle

LYNN

Last Name

KEITH

Business Name

MELISSA LYNN KEITH

Original Issue Date

10/01/2019

Effective Date

05/16/2024

Expiration Date

05/31/2026

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026