KAITLYN M RUCKMAN 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

KAITLYN

Middle

Last Name

RUCKMAN

Business Name

KAITLYN M RUCKMAN

Original Issue Date

04/06/2019

Effective Date

05/07/2024

Expiration Date

05/31/2026

City

PEOTONE

State

Zip

60468

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026