KATHLEEN J ANTOLINE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003561

License Status

NOT RENEWED

Business

First Name

KATHLEEN J

Last Name

ANTOLINE

Business Name

KATHLEEN J ANTOLINE

Original Issue Date

08/09/2001

Effective Date

04/30/2018

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/14/2021