KATHI CORRAL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****22

License Status

ACTIVE

Business

First Name

KATHI

Last Name

CORRAL

Business Name

KATHI CORRAL

Original Issue Date

07/12/2017

Effective Date

05/15/2024

Expiration Date

05/31/2026

City

PLAINFIELD

State

Zip

60586

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026