KEVIN E MCDONOUGH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

MCDONOUGH

Business Name

KEVIN E MCDONOUGH

Original Issue Date

09/21/2021

Effective Date

06/08/2022

Expiration Date

06/30/2024

City

OAK LAWN

State

Zip

60453

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025