CATHLIN B PORONSKY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

INACTIVE

Business

First Name

CATHLIN

Middle

Last Name

PORONSKY

Business Name

CATHLIN B PORONSKY

Original Issue Date

06/26/2001

Effective Date

05/29/2020

Expiration Date

08/31/2022

City

BURR RIDGE

State

Zip

60527

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/01/2022