JUDI KITTLE FORNER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****06

License Status

ACTIVE

Business

First Name

JUDI

Middle

KITTLE

Last Name

FORNER

Business Name

JUDI KITTLE FORNER

Original Issue Date

01/25/2017

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/04/2026