MACKENZIE CATHERINE BUZZARD 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

MACKENZIE

Middle

CATHERINE

Last Name

BUZZARD

Business Name

MACKENZIE CATHERINE BUZZARD

Original Issue Date

08/03/2023

Effective Date

04/12/2024

Expiration Date

05/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026