NATHALIE KEARNS DAVIDSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****00

License Status

NOT RENEWED

Business

First Name

NATHALIE

Middle

KEARNS

Last Name

DAVIDSON

Business Name

NATHALIE KEARNS DAVIDSON

Original Issue Date

03/01/2016

Effective Date

04/24/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60622

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021