KATHY G SUPPLE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003663

License Status

INACTIVE

Business

First Name

KATHY G

Last Name

SUPPLE

Business Name

KATHY G SUPPLE

Original Issue Date

08/16/2001

Effective Date

04/30/2018

Expiration Date

09/30/2020

City

TINLEY PARK

State

Zip

60487

County

COOK

Ever Disciplined

LastModifiedDate

04/30/2018