MEGAN ANN KETCHERSIDE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****42

License Status

ACTIVE

Business

First Name

MEGAN

Middle

ANN

Last Name

KETCHERSIDE

Business Name

MEGAN ANN KETCHERSIDE

Original Issue Date

11/23/2020

Effective Date

03/18/2026

Expiration Date

05/31/2028

City

DANVILLE

State

Zip

61832

County

VERMILION

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/18/2026