KATHERYN NICOLE ERNST Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****40

License Status

INACTIVE

Business

First Name

KATHERYN

Middle

NICOLE

Last Name

ERNST

Business Name

KATHERYN NICOLE ERNST

Original Issue Date

05/02/2017

Effective Date

05/04/2022

Expiration Date

05/31/2024

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2024