KATHY G SUPPLE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277000437

License Status

ACTIVE

Business

First Name

KATHY G

Last Name

SUPPLE

Business Name

KATHY G SUPPLE

Original Issue Date

01/06/2020

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

TINLEY PARK

State

Zip

60487

County

WILL

Ever Disciplined

LastModifiedDate

03/04/2026