KATHERINE J ENGELKE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****31

License Status

NOT RENEWED

Business

First Name

KATHERINE

Middle

Last Name

ENGELKE

Business Name

KATHERINE J ENGELKE

Original Issue Date

10/28/2015

Effective Date

09/01/2020

Expiration Date

08/31/2022

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022