BETHANY RENEE STONE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****53

License Status

NOT RENEWED

Business

First Name

BETHANY

Middle

RENEE

Last Name

STONE

Business Name

BETHANY RENEE STONE

Original Issue Date

10/28/2019

Effective Date

10/28/2019

Expiration Date

09/30/2020

City

MATTOON

State

Zip

61938

County

COLES

Delegated Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/14/2021