BETH A ALLAN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****86

License Status

INACTIVE

Business

First Name

BETH

Middle

Last Name

ALLAN

Business Name

BETH A ALLAN

Original Issue Date

05/21/2015

Effective Date

04/17/2018

Expiration Date

09/30/2020

City

LEBANON

State

Zip

62254

County

SAINT CLAIR

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

04/16/2018