HEIDI J BECKSTROM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****72

License Status

ACTIVE

Business

First Name

HEIDI J

Last Name

BECKSTROM

Business Name

HEIDI J BECKSTROM

Original Issue Date

02/24/2010

Effective Date

03/22/2024

Expiration Date

05/31/2026

City

GENOA

State

Zip

60135

County

DEKALB

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026