BETH ANN LANE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

ACTIVE

Business

First Name

BETH

Middle

ANN

Last Name

LANE

Business Name

BETH ANN LANE

Original Issue Date

08/11/2015

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

ALTON

State

Zip

62002

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/13/2026