KATIE JEAN NEVERGALL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****63

License Status

ACTIVE

Business

First Name

KATIE

Middle

JEAN

Last Name

NEVERGALL

Business Name

KATIE JEAN NEVERGALL

Original Issue Date

02/07/2020

Effective Date

05/31/2024

Expiration Date

05/31/2026

City

VANDALIA

State

Zip

62471

County

FAYETTE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026