JUSTIN JOSEPH COUCH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209014394

License Status

ACTIVE

Business

First Name

JUSTIN

Middle

JOSEPH

Last Name

COUCH

Business Name

JUSTIN JOSEPH COUCH

Original Issue Date

06/29/2016

Effective Date

04/12/2024

Expiration Date

05/31/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/02/2026