DANIEL T FOUTCH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****61

License Status

ACTIVE

Business

First Name

DANIEL

Middle

Last Name

FOUTCH

Business Name

DANIEL T FOUTCH

Original Issue Date

08/18/2025

Effective Date

08/18/2025

Expiration Date

05/31/2026

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/02/2026