KATHRYN M BASQUES Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****36

License Status

NOT RENEWED

Business

First Name

KATHRYN

Middle

Last Name

BASQUES

Business Name

KATHRYN M BASQUES

Original Issue Date

08/19/2015

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021