KRYSTAL J AGNEW Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****33

License Status

ACTIVE

Business

First Name

KRYSTAL

Middle

Last Name

AGNEW

Business Name

KRYSTAL J AGNEW

Original Issue Date

11/13/2023

Effective Date

03/27/2024

Expiration Date

05/31/2026

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026