LAURIE JEAN BEAVERS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****70

License Status

NOT RENEWED

Business

First Name

LAURIE JEAN

Last Name

BEAVERS

Business Name

LAURIE JEAN BEAVERS

Original Issue Date

06/19/2001

Effective Date

07/01/2022

Expiration Date

06/30/2024

City

GREENFIELD

State

Zip

62044

County

GREENE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025