CARRIE L KIRBY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****52

License Status

ACTIVE

Business

First Name

CARRIE

Middle

Last Name

KIRBY

Business Name

CARRIE L KIRBY

Original Issue Date

06/06/2016

Effective Date

03/05/2024

Expiration Date

05/31/2026

City

GIBSON CITY

State

Zip

60936

County

FORD

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026