KATHLEEN E KELSEY GRINDSTAFF POTEMPA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004481

License Status

NOT RENEWED

Business

First Name

KATHLEEN E

Middle

KELSEY

Last Name

GRINDSTAFF POTEMPA

Business Name

KATHLEEN E KELSEY GRINDSTAFF POTEMPA

Original Issue Date

10/10/2002

Effective Date

05/13/2010

Expiration Date

05/31/2012

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/10/2012