KYLA R PHU Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****08

License Status

ACTIVE

Business

First Name

KYLA

Middle

Last Name

PHU

Business Name

KYLA R PHU

Original Issue Date

03/11/2016

Effective Date

05/09/2024

Expiration Date

05/31/2026

City

HUNTLEY

State

Zip

60142

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026