KATELYN M VANDERMAST Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****26

License Status

ACTIVE

Business

First Name

KATELYN

Middle

Last Name

VANDERMAST

Business Name

KATELYN M VANDERMAST

Original Issue Date

12/19/2016

Effective Date

06/12/2024

Expiration Date

05/31/2026

City

GENEVA

State

Zip

60134

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026