KATHLEEN MARIE MONTGOMERY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209022480

License Status

ACTIVE

Business

First Name

KATHLEEN

Middle

MARIE

Last Name

MONTGOMERY

Business Name

KATHLEEN MARIE MONTGOMERY

BusinessDBA

KATHLEEN GATES

Original Issue Date

12/03/2020

Effective Date

04/10/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/02/2026