KATHY CYLEEN B DEFANTE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****03

License Status

ACTIVE

Business

First Name

KATHY CYLEEN B

Last Name

DEFANTE

Business Name

KATHY CYLEEN B DEFANTE

Original Issue Date

07/14/2025

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

WESTERN SPRINGS

State

Zip

60558

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026