KATHERINE ELAINE STOUT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****54

License Status

ACTIVE

Business

First Name

KATHERINE

Middle

ELAINE

Last Name

STOUT

Business Name

KATHERINE ELAINE STOUT

Original Issue Date

06/19/2009

Effective Date

04/30/2024

Expiration Date

05/31/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026