KATY H WINE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209018627

License Status

ACTIVE

Business

First Name

KATY

Middle

Last Name

WINE

Business Name

KATY H WINE

Original Issue Date

01/16/2019

Effective Date

03/13/2026

Expiration Date

05/31/2028

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/13/2026