KIERSTEN MARIE EMBERTON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****57

License Status

ACTIVE

Business

First Name

KIERSTEN

Middle

MARIE

Last Name

EMBERTON

Business Name

KIERSTEN MARIE EMBERTON

Original Issue Date

03/17/2020

Effective Date

05/11/2024

Expiration Date

05/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026