AMBER MARIE KELLERMAN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****70

License Status

INACTIVE

Business

First Name

AMBER

Middle

MARIE

Last Name

KELLERMAN

Business Name

AMBER MARIE KELLERMAN

BusinessDBA

FARK

Original Issue Date

08/20/2020

Effective Date

07/21/2022

Expiration Date

05/31/2024

City

PINCKNEYVILLE

State

Zip

62274

Ever Disciplined

LastModifiedDate

07/21/2022