NATHAN M CARROLL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****66

License Status

ACTIVE

Business

First Name

NATHAN

Middle

Last Name

CARROLL

Business Name

NATHAN M CARROLL

Original Issue Date

08/13/2024

Effective Date

03/18/2026

Expiration Date

05/31/2028

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/18/2026