MICHAELA RAE KANE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****79

License Status

ACTIVE

Business

First Name

MICHAELA

Middle

RAE

Last Name

KANE

Business Name

MICHAELA RAE KANE

Original Issue Date

02/25/2025

Effective Date

03/25/2026

Expiration Date

05/31/2028

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/25/2026