KACI N HAVLIN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****49

License Status

ACTIVE

Business

First Name

KACI

Middle

Last Name

HAVLIN

Business Name

KACI N HAVLIN

Original Issue Date

09/24/2018

Effective Date

04/26/2024

Expiration Date

05/31/2026

City

CARROLLTON

State

Zip

62016

County

GREENE

Specialty/Qualifier

PRACTITIONER

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026