KEITH M DOUBET Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****83

License Status

INACTIVE

Business

First Name

KEITH M

Last Name

DOUBET

Business Name

KEITH M DOUBET

Original Issue Date

03/13/2023

Effective Date

03/05/2024

Expiration Date

05/31/2026

City

GALESBURG

State

Zip

61401

County

KNOX

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/30/2025