KASEY D KHAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****57

License Status

NOT RENEWED

Business

First Name

KASEY

Middle

Last Name

KHAN

Business Name

KASEY D KHAN

Original Issue Date

12/17/2018

Effective Date

12/17/2018

Expiration Date

09/30/2020

City

MARION

State

Zip

62959

County

WILLIAMSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021