KATY JO NORTHCUTT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****72

License Status

ACTIVE

Business

First Name

KATY

Middle

Last Name

NORTHCUTT

Business Name

KATY JO NORTHCUTT

Original Issue Date

03/19/2020

Effective Date

03/23/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026