CASEY J IKEMIRE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****78

License Status

ACTIVE

Business

First Name

CASEY

Middle

Last Name

IKEMIRE

Business Name

CASEY J IKEMIRE

BusinessDBA

RUPHARD

Original Issue Date

11/09/2020

Effective Date

04/11/2024

Expiration Date

05/31/2026

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026