MATTHEW E WEEMS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****89

License Status

INACTIVE

Business

First Name

MATTHEW

Middle

Last Name

WEEMS

Business Name

MATTHEW E WEEMS

Original Issue Date

11/27/2019

Effective Date

05/06/2022

Expiration Date

05/31/2024

City

IUKA

State

Zip

62849

County

MARION

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2024