DANIEL T FOUTCH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****53

License Status

INACTIVE

Business

First Name

DANIEL

Middle

Last Name

FOUTCH

Business Name

DANIEL T FOUTCH

Original Issue Date

02/17/2022

Effective Date

05/06/2022

Expiration Date

05/31/2024

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/07/2024