KATELYN RENEE NIEMAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****40

License Status

ACTIVE

Business

First Name

KATELYN

Middle

RENEE

Last Name

NIEMAN

Business Name

KATELYN RENEE NIEMAN

Original Issue Date

08/15/2025

Effective Date

08/15/2025

Expiration Date

05/31/2026

City

BUFFALO GROVE

State

Zip

60089

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026