KATHLEEN ANN PROBST Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****42

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

ANN

Last Name

PROBST

Business Name

KATHLEEN ANN PROBST

Original Issue Date

06/08/2009

Effective Date

03/20/2018

Expiration Date

09/30/2020

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021