KATHLEEN M HAMBLEN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****15

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

Last Name

HAMBLEN

Business Name

KATHLEEN M HAMBLEN

Original Issue Date

03/24/2016

Effective Date

03/25/2018

Expiration Date

09/30/2020

City

DEKALB

State

Zip

60115

County

DEKALB

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021