BETHANY J FERGUSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****53

License Status

ACTIVE

Business

First Name

BETHANY

Middle

Last Name

FERGUSON

Business Name

BETHANY J FERGUSON

Original Issue Date

09/02/2015

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

PEORIA

State

Zip

61603

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026