TIMOTHY MICHAEL KAMP Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

MICHAEL

Last Name

KAMP

Business Name

TIMOTHY MICHAEL KAMP

Original Issue Date

04/19/2017

Effective Date

05/12/2024

Expiration Date

05/31/2026

City

BETHALTO

State

Zip

62010

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026