KRYSTEN A GREEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****70

License Status

ACTIVE

Business

First Name

KRYSTEN

Middle

Last Name

GREEN

Business Name

KRYSTEN A GREEN

Original Issue Date

02/23/2024

Effective Date

04/02/2024

Expiration Date

05/31/2026

City

ANNA

State

Zip

62906

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026