KATHERINE G BROCKHOUSE 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

KATHERINE

Middle

Last Name

BROCKHOUSE

Business Name

KATHERINE G BROCKHOUSE

BusinessDBA

BROCKHOUSE

Original Issue Date

06/25/2020

Effective Date

03/26/2026

Expiration Date

05/31/2028

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/26/2026