KATHERINE A BURNLEY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****19

License Status

ACTIVE

Business

First Name

KATHERINE

Middle

Last Name

BURNLEY

Business Name

KATHERINE A BURNLEY

Original Issue Date

10/31/2016

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

GLEN CARBON

State

Zip

62034

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026