CASEY E ANDERSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****59

License Status

ACTIVE

Business

First Name

CASEY

Middle

Last Name

ANDERSON

Business Name

CASEY E ANDERSON

Original Issue Date

06/05/2023

Effective Date

03/12/2026

Expiration Date

05/31/2028

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/12/2026