KYLE FARIS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****69

License Status

ACTIVE

Business

First Name

KYLE

Last Name

FARIS

Business Name

KYLE FARIS

Original Issue Date

08/22/2025

Effective Date

08/22/2025

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61605

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026