KATHRYN E LEWIS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****41

License Status

ACTIVE

Business

First Name

KATHRYN

Middle

Last Name

LEWIS

Business Name

KATHRYN E LEWIS

Original Issue Date

01/31/2025

Effective Date

01/31/2025

Expiration Date

05/31/2026

City

DIXON

State

Zip

61021

County

LEE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026