CLAYTON P HAGAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****16

License Status

ACTIVE

Business

First Name

CLAYTON

Middle

Last Name

HAGAN

Business Name

CLAYTON P HAGAN

Original Issue Date

01/07/2010

Effective Date

04/04/2024

Expiration Date

05/31/2026

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026