KEVIN M LAGE - Advanced Practice Nurse License in Illinois | # 209011664

KEVIN M LAGE

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209011664

License Status

INACTIVE

Business

N

First Name

KEVIN

Middle

M

Last Name

LAGE

Business Name

KEVIN M LAGE

Original Issue Date

07/24/2014

Effective Date

03/13/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

03/12/2018