KATELYN M BANNON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209023710

License Status

ACTIVE

Business

First Name

KATELYN

Middle

Last Name

BANNON

Business Name

KATELYN M BANNON

Original Issue Date

07/30/2021

Effective Date

05/03/2024

Expiration Date

05/31/2026

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/02/2026