KASAUNDRA M BEVERLY-MARSHALL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****96

License Status

ACTIVE

Business

First Name

KASAUNDRA

Middle

Last Name

BEVERLY-MARSHALL

Business Name

KASAUNDRA M BEVERLY-MARSHALL

Original Issue Date

06/18/2025

Effective Date

06/18/2025

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Delegated Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

03/02/2026