STEFANEE LYNANN KETH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****56

License Status

INACTIVE

Business

First Name

STEFANEE

Middle

LYNANN

Last Name

KETH

Business Name

STEFANEE LYNANN KETH

Original Issue Date

07/03/2008

Effective Date

04/10/2018

Expiration Date

09/30/2020

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

03/08/2020