KRISTI A BECKER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****50

License Status

NOT RENEWED

Business

First Name

KRISTI A

Last Name

BECKER

Business Name

KRISTI A BECKER

Original Issue Date

06/28/2018

Effective Date

06/28/2018

Expiration Date

09/30/2020

City

PLAINFIELD

State

Zip

60585

County

WILL

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021