KAITLIN ANN MADISON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****82

License Status

INACTIVE

Business

First Name

KAITLIN

Middle

ANN

Last Name

MADISON

Business Name

KAITLIN ANN MADISON

Original Issue Date

10/02/2017

Effective Date

06/08/2022

Expiration Date

05/31/2024

City

DUNLAP

State

Zip

61525

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023