MEGAN D SIEGRIST 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

MEGAN

Middle

Last Name

SIEGRIST

Business Name

MEGAN D SIEGRIST

Original Issue Date

09/14/2017

Effective Date

04/25/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026