PATRICK C KIRBY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****33

License Status

ACTIVE

Business

First Name

PATRICK

Middle

Last Name

KIRBY

Business Name

PATRICK C KIRBY

Original Issue Date

03/30/2019

Effective Date

03/18/2026

Expiration Date

05/31/2028

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/18/2026