CAITLIN BREANNE BIRD Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****94

License Status

ACTIVE

Business

First Name

CAITLIN

Middle

BREANNE

Last Name

BIRD

Business Name

CAITLIN BREANNE BIRD

Original Issue Date

11/12/2024

Effective Date

11/12/2024

Expiration Date

05/31/2026

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026