KAITLIN JACKLENE HOLCOMB 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

KAITLIN

Middle

JACKLENE

Last Name

HOLCOMB

Business Name

KAITLIN JACKLENE HOLCOMB

Original Issue Date

10/10/2014

Effective Date

03/20/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60615

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021