KRISTEN FORSYTHE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****12

License Status

ACTIVE

Business

First Name

KRISTEN

Last Name

FORSYTHE

Business Name

KRISTEN FORSYTHE

Original Issue Date

11/07/2017

Effective Date

05/13/2024

Expiration Date

05/31/2026

City

HEBRON

State

Zip

46341

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026