KELLI R BEAN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****41

License Status

INACTIVE

Business

First Name

KELLI

Middle

Last Name

BEAN

Business Name

KELLI R BEAN

Original Issue Date

02/17/2022

Effective Date

05/15/2024

Expiration Date

05/31/2026

City

DU QUOIN

State

Zip

62832

County

PERRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/20/2024