MICHAEL G KRUSE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****73

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

Last Name

KRUSE

Business Name

MICHAEL G KRUSE

Original Issue Date

04/06/2016

Effective Date

05/20/2024

Expiration Date

05/31/2026

City

URBANA

State

Zip

61801

County

VERMILION

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026