KACIE R ADCOCK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****58

License Status

ACTIVE

Business

First Name

KACIE

Middle

Last Name

ADCOCK

Business Name

KACIE R ADCOCK

Original Issue Date

10/10/2025

Effective Date

10/10/2025

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026