KATIE MICHELLE O'HALLORAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****45

License Status

ACTIVE

Business

First Name

KATIE

Middle

MICHELLE

Last Name

O'HALLORAN

Business Name

KATIE MICHELLE O'HALLORAN

Original Issue Date

02/08/2021

Effective Date

05/24/2024

Expiration Date

05/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026