KAITLYN S MCGOUGH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****07

License Status

INACTIVE

Business

First Name

KAITLYN

Middle

Last Name

MCGOUGH

Business Name

KAITLYN S MCGOUGH

Original Issue Date

11/05/2021

Effective Date

03/26/2024

Expiration Date

05/31/2026

City

GALESBURG

State

Zip

61401

County

KNOX

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/02/2025