CARRIE A LUTMAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****74

License Status

ACTIVE

Business

First Name

CARRIE

Middle

Last Name

LUTMAN

Business Name

CARRIE A LUTMAN

Original Issue Date

09/29/2017

Effective Date

04/29/2024

Expiration Date

05/31/2026

City

ELLIS GROVE

State

Zip

62241

County

JACKSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026