KENYA KAWANEE HEMINGWAY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****01

License Status

NOT RENEWED

Business

First Name

KENYA

Middle

KAWANEE

Last Name

HEMINGWAY

Business Name

KENYA KAWANEE HEMINGWAY

Original Issue Date

03/09/2016

Effective Date

03/25/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60643

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/14/2022