KAITLYN MARIE PHILLIPS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****34

License Status

ACTIVE

Business

First Name

KAITLYN

Middle

MARIE

Last Name

PHILLIPS

Business Name

KAITLYN MARIE PHILLIPS

Original Issue Date

07/19/2019

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

QUINCY

State

Zip

62301

County

ADAMS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026