CHAD O COTTRELL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****39

License Status

ACTIVE

Business

First Name

CHAD

Middle

Last Name

COTTRELL

Business Name

CHAD O COTTRELL

Original Issue Date

02/22/2024

Effective Date

03/29/2024

Expiration Date

05/31/2026

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

03/02/2026