AUSTIN J SPOON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****37

License Status

ACTIVE

Business

First Name

AUSTIN

Middle

Last Name

SPOON

Business Name

AUSTIN J SPOON

Original Issue Date

08/31/2021

Effective Date

03/06/2024

Expiration Date

05/31/2026

City

MORRIS

State

Zip

60450

County

GRUNDY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026