KATHERINE DAVIS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****22

License Status

NOT RENEWED

Business

First Name

KATHERINE

Last Name

DAVIS

Business Name

KATHERINE DAVIS

Original Issue Date

04/28/2020

Effective Date

04/28/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60660

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022