CASEY L EICHENAUER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****97

License Status

ACTIVE

Business

First Name

CASEY

Middle

Last Name

EICHENAUER

Business Name

CASEY L EICHENAUER

Original Issue Date

10/04/2017

Effective Date

03/11/2026

Expiration Date

05/31/2028

City

FORSYTH

State

Zip

62535

County

MACON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2026