KASSANDRA GOODWIN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****50

License Status

ACTIVE

Business

First Name

KASSANDRA

Last Name

GOODWIN

Business Name

KASSANDRA GOODWIN

Original Issue Date

05/01/2025

Effective Date

05/01/2025

Expiration Date

05/31/2026

City

URBANA

State

Zip

61801

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026