KATRINA L BASIC Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****13

License Status

ACTIVE

Business

First Name

KATRINA

Middle

Last Name

BASIC

Business Name

KATRINA L BASIC

Original Issue Date

12/12/2023

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60621

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/05/2026