KEVIN M LAGE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209011664

License Status

INACTIVE

Business

First Name

KEVIN

Middle

Last Name

LAGE

Business Name

KEVIN M LAGE

Original Issue Date

07/24/2014

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

03/12/2018