ANN KATHLEEN MCCULLOUGH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

NOT RENEWED

Business

First Name

ANN

Middle

KATHLEEN

Last Name

MCCULLOUGH

Business Name

ANN KATHLEEN MCCULLOUGH

Original Issue Date

03/11/2016

Effective Date

09/30/2020

Expiration Date

08/31/2022

City

DENVER

State

Zip

80209

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022