KERI ANN DOUGLAS 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

KERI

Middle

ANN

Last Name

DOUGLAS

Business Name

KERI ANN DOUGLAS

Original Issue Date

07/31/2015

Effective Date

04/13/2018

Expiration Date

09/30/2020

City

AVISTON

State

Zip

62216

County

MARION

Ever Disciplined

LastModifiedDate

03/08/2020