AIRN A ETHERTON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****50

License Status

ACTIVE

Business

First Name

AIRN

Middle

Last Name

ETHERTON

Business Name

AIRN A ETHERTON

Original Issue Date

09/26/2007

Effective Date

03/15/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026