KATELYN S PHILLIPS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****24

License Status

ACTIVE

Business

First Name

KATELYN

Middle

Last Name

PHILLIPS

Business Name

KATELYN S PHILLIPS

Original Issue Date

09/12/2023

Effective Date

03/06/2026

Expiration Date

05/31/2028

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/06/2026