KATHY SUE LEE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****28

License Status

NOT RENEWED

Business

First Name

KATHY

Middle

SUE

Last Name

LEE

Business Name

KATHY SUE LEE

Original Issue Date

02/19/2009

Effective Date

03/15/2018

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/16/2022