KATHERINE WISE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****35

License Status

NOT RENEWED

Business

First Name

KATHERINE

Last Name

WISE

Business Name

KATHERINE WISE

Original Issue Date

07/19/2019

Effective Date

04/08/2020

Expiration Date

08/31/2022

City

EVANSTON

State

Zip

60201

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022