KACI N HAVLIN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****67

License Status

ACTIVE

Business

First Name

KACI

Middle

Last Name

HAVLIN

Business Name

KACI N HAVLIN

Original Issue Date

05/05/2017

Effective Date

04/25/2024

Expiration Date

05/31/2026

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026