DANIEL T FOUTCH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277003480

License Status

ACTIVE

Business

First Name

DANIEL

Middle

Last Name

FOUTCH

Business Name

DANIEL T FOUTCH

Original Issue Date

10/07/2024

Effective Date

10/07/2024

Expiration Date

05/31/2026

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/02/2026