CARRIE MCCORMICK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****06

License Status

ACTIVE

Business

First Name

CARRIE

Last Name

MCCORMICK

Business Name

CARRIE MCCORMICK

Original Issue Date

09/25/2019

Effective Date

05/06/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026