JILL ROLANDA BEAVERS KIRBY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****71

License Status

ACTIVE

Business

First Name

JILL

Middle

ROLANDA

Last Name

BEAVERS KIRBY

Business Name

JILL ROLANDA BEAVERS KIRBY

Original Issue Date

09/09/2021

Effective Date

03/17/2026

Expiration Date

05/31/2028

City

PATASKALA

State

Zip

43062

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/17/2026