BETH A CHRISTIANSEN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****55

License Status

INACTIVE

Business

First Name

BETH A

Last Name

CHRISTIANSEN

Business Name

BETH A CHRISTIANSEN

Original Issue Date

02/04/2002

Effective Date

08/19/2020

Expiration Date

05/31/2022

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

08/18/2020