CASEY MANGAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****10

License Status

ACTIVE

Business

First Name

CASEY

Last Name

MANGAN

Business Name

CASEY MANGAN

Original Issue Date

08/15/2024

Effective Date

08/15/2024

Expiration Date

05/31/2026

City

ROMEOVILLE

State

Zip

60446

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026