KATELYN CHRISTINE BRUCH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****12

License Status

ACTIVE

Business

First Name

KATELYN

Middle

CHRISTINE

Last Name

BRUCH

Business Name

KATELYN CHRISTINE BRUCH

Original Issue Date

02/21/2019

Effective Date

03/23/2026

Expiration Date

05/31/2028

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/23/2026