DONNA M KERNS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

Last Name

KERNS

Business Name

DONNA M KERNS

Original Issue Date

03/15/2019

Effective Date

03/15/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60606

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021