MARIOLA B KABAT Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****45

License Status

INACTIVE

Business

First Name

MARIOLA B

Last Name

KABAT

Business Name

MARIOLA B KABAT

Original Issue Date

09/16/2011

Effective Date

06/30/2022

Expiration Date

05/31/2024

City

BRIMFIELD

State

Zip

61517

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023