PATRICIA J KLOS 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

PATRICIA J

Last Name

KLOS

Business Name

PATRICIA J KLOS

Original Issue Date

08/25/2009

Effective Date

07/07/2022

Expiration Date

06/30/2024

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025