MOLLY MAGOVERN ANDERSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****41

License Status

ACTIVE

Business

First Name

MOLLY

Middle

MAGOVERN

Last Name

ANDERSON

Business Name

MOLLY MAGOVERN ANDERSON

Original Issue Date

04/30/2025

Effective Date

04/30/2025

Expiration Date

05/31/2026

City

CHATHAM

State

Zip

62629

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026