MARY KATHERINE FUNK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****41

License Status

NOT RENEWED

Business

First Name

MARY

Middle

KATHERINE

Last Name

FUNK

Business Name

MARY KATHERINE FUNK

Original Issue Date

07/10/2020

Effective Date

07/10/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022