CARRIE J KOGER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****55

License Status

ACTIVE

Business

First Name

CARRIE

Middle

Last Name

KOGER

Business Name

CARRIE J KOGER

Original Issue Date

12/03/2021

Effective Date

05/02/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026