KEVIN M STARKWEATHER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****56

License Status

ACTIVE

Business

First Name

KEVIN

Middle

Last Name

STARKWEATHER

Business Name

KEVIN M STARKWEATHER

Original Issue Date

09/18/2019

Effective Date

03/24/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026