KATHLEEN E HAYCRAFT Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****24

License Status

NOT RENEWED

Business

First Name

KATHLEEN E

Last Name

HAYCRAFT

Business Name

KATHLEEN E HAYCRAFT

Original Issue Date

12/16/2016

Effective Date

03/30/2018

Expiration Date

09/30/2020

City

QUINCY

State

Zip

62301

County

ADAMS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021