CASIE D MCCLELLAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****68

License Status

ACTIVE

Business

First Name

CASIE

Middle

Last Name

MCCLELLAN

Business Name

CASIE D MCCLELLAN

Original Issue Date

06/18/2024

Effective Date

06/18/2024

Expiration Date

05/31/2026

City

MAHOMET

State

Zip

61853

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026