KEITH J CHRISTENSEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****80

License Status

ACTIVE

Business

First Name

KEITH

Middle

Last Name

CHRISTENSEN

Business Name

KEITH J CHRISTENSEN

Original Issue Date

12/29/2017

Effective Date

04/07/2024

Expiration Date

05/31/2026

City

PERU

State

Zip

61354

Delegated Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

03/02/2026