KATHRYN A FRY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****01

License Status

INACTIVE

Business

First Name

KATHRYN

Middle

Last Name

FRY

Business Name

KATHRYN A FRY

Original Issue Date

07/17/2015

Effective Date

07/13/2020

Expiration Date

05/31/2022

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/13/2020